STU3 Candidate

This page is part of the FHIR Specification (v1.8.0: STU 3 Draft). 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

14.7 Resource Measure - Content

Clinical Quality Information Work GroupMaturity Level: 0Compartments: Not linked to any defined compartments

The Measure resource provides the definition of a quality measure.

14.7.1 Scope and Usage

This resource is a draft proposal for use as part of an approach to Clinical Quality within FHIR, and is documented as part of the Clinical Reasoning module.

The Measure resource represents a structured computable definition of a clinical quality measure. A quality measure is a quantitative tool to assess the performance of an individual or organization with respect to a specified process or outcome via the measurement of actions, processes, or outcomes of clinical care. Quality measures are often derived from clinical quidelines and are designed to determine whether the appropriate care has been provided given a set of clinical criteria and an evidence base.

Note that the Measure itself does not contain any logic; rather a Library resource is referenced that contains the logic required by the measure, and the various expression elements, such as poulation criteria, reference named expressions within that library (or libraries). In addition, if the Measure references multiple libraries, then any expression references within the resource must be qualified with the name of the library that contains the referenced expression.

14.7.2 Boundaries and Relationships

The Measure resource describes a specific quality measure, providing the structure of the measure in terms of the calculation elements (the populations involved). The Group resource is also capable of describing a population, however, the complexity involved in specifying the criteria in the general case requires the use of a high-level query language such as Clinical Quality Language (CQL). As such, the Measure resource defines only the top-level populations and references CQL expressions for the actual criteria.

A Measure is also similar to an Observation resource, with the exception that the Measure is purely definitional, it contains no actual measurements, only a description of how to calculate a particular measurement.

This resource is referenced by measurereport

14.7.3 Resource Content

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure DomainResourceA quality measure definition
... url Σ0..1uriLogical uri to reference this measure (globally unique)
... identifier Σ0..*IdentifierAdditional identifier for the measure
... version Σ0..1stringBusiness version of the measure
... name Σ0..1stringName for this measure (Computer friendly)
... title Σ0..1stringName for this measure (Human friendly)
... status ?!Σ1..1codedraft | active | retired
PublicationStatus (Required)
... experimental ?!Σ0..1booleanIf for testing purposes, not real usage
... date Σ0..1dateTimeDate this was last changed
... description 0..1markdownNatural language description of the measure
... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... approvalDate 0..1dateWhen measure approved by publisher
... lastReviewDate 0..1dateLast review date for the measure
... effectivePeriod Σ0..1PeriodThe effective date range for the measure
... useContext Σ0..*UsageContextContent intends to support these contexts
... jurisdiction Σ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Jurisdiction ValueSet (Extensible)
... topic 0..*CodeableConceptDescriptional topics for the measure
... contributor 0..*ContributorA content contributor
... publisher Σ0..1stringName of the publisher (Organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... copyright 0..1markdownUse and/or publishing restrictions
... relatedArtifact 0..*RelatedArtifactRelated artifacts for the measure
... library 0..*Reference(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for the measure
... scoring Σ0..1codeproportion | ratio | continuous-variable | cohort
MeasureScoring (Required)
... compositeScoring Σ0..1codeopportunity | all-or-nothing | linear | weighted
CompositeMeasureScoring (Required)
... type Σ0..*codeprocess | outcome | structure | patient-reported-outcome | composite
MeasureType (Required)
... riskAdjustment Σ0..1stringHow is risk adjustment applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownWhy does this measure exist
... clinicalRecommendationStatement Σ0..1markdownClinical recommendation
... improvementNotation Σ0..1stringImprovement notation for the measure, e.g. higher score indicates better quality
... definition Σ0..1markdownA natural language definition of the measure
... guidance Σ0..1markdownThe guidance for the measure
... set Σ0..1stringThe measure set, e.g. Preventive Care and Screening
... group 0..*BackboneElementPopulation criteria group
.... identifier 1..1IdentifierUnique identifier
.... name 0..1stringShort name
.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... type 1..1codeinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
MeasurePopulationType (Required)
..... identifier 1..1IdentifierUnique identifier
..... name 0..1stringShort name
..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1stringThe name of a valid referenced CQL expression (may be namespaced) that defines this population criteria
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... identifier 1..1IdentifierThe identifier for the stratifier used to coordinate the reported data back to this stratifier
..... criteria 0..1stringStratifier criteria
..... path 0..1stringPath to the stratifier
... supplementalData 0..*BackboneElementSupplemental data
.... identifier 1..1IdentifierIdentifier, unique within the measure
.... usage 0..*codesupplemental-data | risk-adjustment-factor
MeasureDataUsage (Required)
.... criteria 0..1stringSupplemental data criteria
.... path 0..1stringPath to the supplemental data element

doco Documentation for this format

UML Diagram (Legend)

Measure (DomainResource)An absolute URL that is used to identify this measure when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this measure is (or will be) published. The URL SHOULD include the major version of the measure. For more information see [Technical and Business Versions](resource.html#versions)url : uri [0..1]A formal identifier that is used to identify this measure when it is represented in other formats, or referenced in a specification, model, design or an instanceidentifier : Identifier [0..*]The identifier that is used to identify this version of the measure when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the measure author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable. 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 artifactsversion : string [0..1]A natural language name identifying the measure. This name should be usable as an identifier for the module by machine processing applications such as code generationname : string [0..1]A short, descriptive, user-friendly title for the measuretitle : string [0..1]The status of this measure. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « The lifecycle status of a Value Set or Concept Map. (Strength=Required)PublicationStatus! »A flag to indicate that this measure is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage (this element modifies the meaning of other elements)experimental : boolean [0..1]The date (and optionally time) when the measure was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the measure changesdate : dateTime [0..1]A free text natural language description of the measure from the consumer's perspectivedescription : markdown [0..1]Explains why this measure is needed and why it has been designed as it haspurpose : markdown [0..1]A detailed description of how the measure is used from a clinical perspectiveusage : string [0..1]The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usageapprovalDate : date [0..1]The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval datelastReviewDate : date [0..1]The period during which the measure content was or is planned to be effectiveeffectivePeriod : Period [0..1]The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitionsuseContext : UsageContext [0..*]A jurisdiction in which the measure is intended to be usedjurisdiction : CodeableConcept [0..*] « Countries and regions within which this artifact is targeted for use (Strength=Extensible)Jurisdiction ValueSet+ »Clinical topics related to the content of the measuretopic : CodeableConcept [0..*]A contributor to the content of the measure, including authors, editors, reviewers, and endorserscontributor : Contributor [0..*]The name of the individual or organization that published the measurepublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]A copyright statement relating to the measure and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the measurecopyright : markdown [0..1]Related artifacts such as additional documentation, justification, or bibliographic referencesrelatedArtifact : RelatedArtifact [0..*]A reference to a Library resource containing the formal logic used by the measurelibrary : Reference [0..*] « Library »A disclaimer for the use of the measuredisclaimer : markdown [0..1]The measure scoring type, e.g. proportion, CVscoring : code [0..1] « The scoring type of the measure (Strength=Required)MeasureScoring! »If this is a composite measure, the scoring method used to combine the component measures to determine the composite scorecompositeScoring : code [0..1] « The composite scoring method of the measure (Strength=Required)CompositeMeasureScoring! »The measure type, e.g. process, outcometype : code [0..*] « The type of measure (includes codes from 2.16.840.1.113883.1.11.20368) (Strength=Required)MeasureType! »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 resultsriskAdjustment : string [0..1]A description of the rate aggregation for the measurerateAggregation : string [0..1]The rationale for the measurerationale : markdown [0..1]The clinical recommendation statement for the measureclinicalRecommendationStatement : markdown [0..1]Improvement notation for the measure, e.g. higher score indicates better qualityimprovementNotation : string [0..1]A narrative description of the complete measure calculationdefinition : markdown [0..1]Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measureguidance : markdown [0..1]The measure set, e.g. Preventive Care and Screeningset : string [0..1]GroupA unique identifier for the group. This identifier will used to report data for the group in the measure reportidentifier : Identifier [1..1]Optional name or short description of this groupname : string [0..1]The human readable description of this population groupdescription : string [0..1]PopulationThe type of population criteriatype : code [1..1] « The type of population (Strength=Required)MeasurePopulationType! »A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure reportidentifier : Identifier [1..1]Optional name or short description of this populationname : string [0..1]The human readable description of this population criteriadescription : string [0..1]The name of a valid referenced CQL expression (may be namespaced) that defines this population criteriacriteria : string [1..1]StratifierThe identifier for the stratifier used to coordinate the reported data back to this stratifieridentifier : Identifier [1..1]The criteria for the stratifier. This must be the name of an expression defined within a referenced librarycriteria : string [0..1]The path to an element that defines the stratifier, specified as a valid FHIR resource pathpath : string [0..1]SupplementalDataAn identifier for the supplemental dataidentifier : Identifier [1..1]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 calculationusage : code [0..*] « The intended usage for supplemental data elements in the measure (Strength=Required)MeasureDataUsage! »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 elementcriteria : string [0..1]The supplemental data to be supplied as part of the measure response, specified as a valid FHIR Resource Pathpath : string [0..1]A population criteria for the measurepopulation[0..*]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 Pathstratifier[0..*]A group of population criteria for the measuregroup[0..*]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 PathsupplementalData[0..*]

XML Template

<Measure xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri]"/><!-- 0..1 Logical uri to reference this measure (globally unique) -->
 <identifier><!-- 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of the measure -->
 <name value="[string]"/><!-- 0..1 Name for this measure (Computer friendly) -->
 <title value="[string]"/><!-- 0..1 Name for this measure (Human friendly) -->
 <status value="[code]"/><!-- 1..1 draft | active | retired -->
 <experimental value="[boolean]"/><!-- 0..1 If for testing purposes, not real usage -->
 <date value="[dateTime]"/><!-- 0..1 Date this was last changed -->
 <description value="[markdown]"/><!-- 0..1 Natural language description of the measure -->
 <purpose value="[markdown]"/><!-- 0..1 Why this measure is defined -->
 <usage value="[string]"/><!-- 0..1 Describes the clinical usage of the measure -->
 <approvalDate value="[date]"/><!-- 0..1 When measure approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 Last review date for the measure -->
 <effectivePeriod><!-- 0..1 Period The effective date range for the measure --></effectivePeriod>
 <useContext><!-- 0..* UsageContext Content intends to support these contexts --></useContext>
 <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for measure (if applicable) --></jurisdiction>
 <topic><!-- 0..* CodeableConcept Descriptional topics for the measure --></topic>
 <contributor><!-- 0..* Contributor A content contributor --></contributor>
 <publisher value="[string]"/><!-- 0..1 Name of the publisher (Organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions -->
 <relatedArtifact><!-- 0..* RelatedArtifact Related artifacts for the measure --></relatedArtifact>
 <library><!-- 0..* Reference(Library) Logic used by the measure --></library>
 <disclaimer value="[markdown]"/><!-- 0..1 Disclaimer for the measure -->
 <scoring value="[code]"/><!-- 0..1 proportion | ratio | continuous-variable | cohort -->
 <compositeScoring value="[code]"/><!-- 0..1 opportunity | all-or-nothing | linear | weighted -->
 <type value="[code]"/><!-- 0..* process | outcome | structure | patient-reported-outcome | composite -->
 <riskAdjustment value="[string]"/><!-- 0..1 How is risk adjustment applied for this measure -->
 <rateAggregation value="[string]"/><!-- 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- 0..1 Why does this measure exist -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- 0..1 Clinical recommendation -->
 <improvementNotation value="[string]"/><!-- 0..1 Improvement notation for the measure, e.g. higher score indicates better quality -->
 <definition value="[markdown]"/><!-- 0..1 A natural language definition of the measure -->
 <guidance value="[markdown]"/><!-- 0..1 The guidance for the measure -->
 <set value="[string]"/><!-- 0..1 The measure set, e.g. Preventive Care and Screening -->
 <group>  <!-- 0..* Population criteria group -->
  <identifier><!-- 1..1 Identifier Unique identifier --></identifier>
  <name value="[string]"/><!-- 0..1 Short name -->
  <description value="[string]"/><!-- 0..1 Summary description -->
  <population>  <!-- 0..* Population criteria -->
   <type value="[code]"/><!-- 1..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation -->
   <identifier><!-- 1..1 Identifier Unique identifier --></identifier>
   <name value="[string]"/><!-- 0..1 Short name -->
   <description value="[string]"/><!-- 0..1 The human readable description of this population criteria -->
   <criteria value="[string]"/><!-- 1..1 The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria -->
  </population>
  <stratifier>  <!-- 0..* Stratifier criteria for the measure -->
   <identifier><!-- 1..1 Identifier The identifier for the stratifier used to coordinate the reported data back to this stratifier --></identifier>
   <criteria value="[string]"/><!-- 0..1 Stratifier criteria -->
   <path value="[string]"/><!-- 0..1 Path to the stratifier -->
  </stratifier>
 </group>
 <supplementalData>  <!-- 0..* Supplemental data -->
  <identifier><!-- 1..1 Identifier Identifier, unique within the measure --></identifier>
  <usage value="[code]"/><!-- 0..* supplemental-data | risk-adjustment-factor -->
  <criteria value="[string]"/><!-- 0..1 Supplemental data criteria -->
  <path value="[string]"/><!-- 0..1 Path to the supplemental data element -->
 </supplementalData>
</Measure>

JSON Template

{doco
  "resourceType" : "Measure",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "url" : "<uri>", // Logical uri to reference this measure (globally unique)
  "identifier" : [{ Identifier }], // Additional identifier for the measure
  "version" : "<string>", // Business version of the measure
  "name" : "<string>", // Name for this measure (Computer friendly)
  "title" : "<string>", // Name for this measure (Human friendly)
  "status" : "<code>", // R!  draft | active | retired
  "experimental" : <boolean>, // If for testing purposes, not real usage
  "date" : "<dateTime>", // Date this was last changed
  "description" : "<markdown>", // Natural language description of the measure
  "purpose" : "<markdown>", // Why this measure is defined
  "usage" : "<string>", // Describes the clinical usage of the measure
  "approvalDate" : "<date>", // When measure approved by publisher
  "lastReviewDate" : "<date>", // Last review date for the measure
  "effectivePeriod" : { Period }, // The effective date range for the measure
  "useContext" : [{ UsageContext }], // Content intends to support these contexts
  "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for measure (if applicable)
  "topic" : [{ CodeableConcept }], // Descriptional topics for the measure
  "contributor" : [{ Contributor }], // A content contributor
  "publisher" : "<string>", // Name of the publisher (Organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "copyright" : "<markdown>", // Use and/or publishing restrictions
  "relatedArtifact" : [{ RelatedArtifact }], // Related artifacts for the measure
  "library" : [{ Reference(Library) }], // Logic used by the measure
  "disclaimer" : "<markdown>", // Disclaimer for the measure
  "scoring" : "<code>", // proportion | ratio | continuous-variable | cohort
  "compositeScoring" : "<code>", // opportunity | all-or-nothing | linear | weighted
  "type" : ["<code>"], // process | outcome | structure | patient-reported-outcome | composite
  "riskAdjustment" : "<string>", // How is risk adjustment applied for this measure
  "rateAggregation" : "<string>", // How is rate aggregation performed for this measure
  "rationale" : "<markdown>", // Why does this measure exist
  "clinicalRecommendationStatement" : "<markdown>", // Clinical recommendation
  "improvementNotation" : "<string>", // Improvement notation for the measure, e.g. higher score indicates better quality
  "definition" : "<markdown>", // A natural language definition of the measure
  "guidance" : "<markdown>", // The guidance for the measure
  "set" : "<string>", // The measure set, e.g. Preventive Care and Screening
  "group" : [{ // Population criteria group
    "identifier" : { Identifier }, // R!  Unique identifier
    "name" : "<string>", // Short name
    "description" : "<string>", // Summary description
    "population" : [{ // Population criteria
      "type" : "<code>", // R!  initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      "identifier" : { Identifier }, // R!  Unique identifier
      "name" : "<string>", // Short name
      "description" : "<string>", // The human readable description of this population criteria
      "criteria" : "<string>" // R!  The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria
    }],
    "stratifier" : [{ // Stratifier criteria for the measure
      "identifier" : { Identifier }, // R!  The identifier for the stratifier used to coordinate the reported data back to this stratifier
      "criteria" : "<string>", // Stratifier criteria
      "path" : "<string>" // Path to the stratifier
    }]
  }],
  "supplementalData" : [{ // Supplemental data
    "identifier" : { Identifier }, // R!  Identifier, unique within the measure
    "usage" : ["<code>"], // supplemental-data | risk-adjustment-factor
    "criteria" : "<string>", // Supplemental data criteria
    "path" : "<string>" // Path to the supplemental data element
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Measure;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Measure.url [ uri ]; # 0..1 Logical uri to reference this measure (globally unique)
  fhir:Measure.identifier [ Identifier ], ... ; # 0..* Additional identifier for the measure
  fhir:Measure.version [ string ]; # 0..1 Business version of the measure
  fhir:Measure.name [ string ]; # 0..1 Name for this measure (Computer friendly)
  fhir:Measure.title [ string ]; # 0..1 Name for this measure (Human friendly)
  fhir:Measure.status [ code ]; # 1..1 draft | active | retired
  fhir:Measure.experimental [ boolean ]; # 0..1 If for testing purposes, not real usage
  fhir:Measure.date [ dateTime ]; # 0..1 Date this was last changed
  fhir:Measure.description [ markdown ]; # 0..1 Natural language description of the measure
  fhir:Measure.purpose [ markdown ]; # 0..1 Why this measure is defined
  fhir:Measure.usage [ string ]; # 0..1 Describes the clinical usage of the measure
  fhir:Measure.approvalDate [ date ]; # 0..1 When measure approved by publisher
  fhir:Measure.lastReviewDate [ date ]; # 0..1 Last review date for the measure
  fhir:Measure.effectivePeriod [ Period ]; # 0..1 The effective date range for the measure
  fhir:Measure.useContext [ UsageContext ], ... ; # 0..* Content intends to support these contexts
  fhir:Measure.jurisdiction [ CodeableConcept ], ... ; # 0..* Intended jurisdiction for measure (if applicable)
  fhir:Measure.topic [ CodeableConcept ], ... ; # 0..* Descriptional topics for the measure
  fhir:Measure.contributor [ Contributor ], ... ; # 0..* A content contributor
  fhir:Measure.publisher [ string ]; # 0..1 Name of the publisher (Organization or individual)
  fhir:Measure.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher
  fhir:Measure.copyright [ markdown ]; # 0..1 Use and/or publishing restrictions
  fhir:Measure.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Related artifacts for the measure
  fhir:Measure.library [ Reference(Library) ], ... ; # 0..* Logic used by the measure
  fhir:Measure.disclaimer [ markdown ]; # 0..1 Disclaimer for the measure
  fhir:Measure.scoring [ code ]; # 0..1 proportion | ratio | continuous-variable | cohort
  fhir:Measure.compositeScoring [ code ]; # 0..1 opportunity | all-or-nothing | linear | weighted
  fhir:Measure.type [ code ], ... ; # 0..* process | outcome | structure | patient-reported-outcome | composite
  fhir:Measure.riskAdjustment [ string ]; # 0..1 How is risk adjustment applied for this measure
  fhir:Measure.rateAggregation [ string ]; # 0..1 How is rate aggregation performed for this measure
  fhir:Measure.rationale [ markdown ]; # 0..1 Why does this measure exist
  fhir:Measure.clinicalRecommendationStatement [ markdown ]; # 0..1 Clinical recommendation
  fhir:Measure.improvementNotation [ string ]; # 0..1 Improvement notation for the measure, e.g. higher score indicates better quality
  fhir:Measure.definition [ markdown ]; # 0..1 A natural language definition of the measure
  fhir:Measure.guidance [ markdown ]; # 0..1 The guidance for the measure
  fhir:Measure.set [ string ]; # 0..1 The measure set, e.g. Preventive Care and Screening
  fhir:Measure.group [ # 0..* Population criteria group
    fhir:Measure.group.identifier [ Identifier ]; # 1..1 Unique identifier
    fhir:Measure.group.name [ string ]; # 0..1 Short name
    fhir:Measure.group.description [ string ]; # 0..1 Summary description
    fhir:Measure.group.population [ # 0..* Population criteria
      fhir:Measure.group.population.type [ code ]; # 1..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      fhir:Measure.group.population.identifier [ Identifier ]; # 1..1 Unique identifier
      fhir:Measure.group.population.name [ string ]; # 0..1 Short name
      fhir:Measure.group.population.description [ string ]; # 0..1 The human readable description of this population criteria
      fhir:Measure.group.population.criteria [ string ]; # 1..1 The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria
    ], ...;
    fhir:Measure.group.stratifier [ # 0..* Stratifier criteria for the measure
      fhir:Measure.group.stratifier.identifier [ Identifier ]; # 1..1 The identifier for the stratifier used to coordinate the reported data back to this stratifier
      fhir:Measure.group.stratifier.criteria [ string ]; # 0..1 Stratifier criteria
      fhir:Measure.group.stratifier.path [ string ]; # 0..1 Path to the stratifier
    ], ...;
  ], ...;
  fhir:Measure.supplementalData [ # 0..* Supplemental data
    fhir:Measure.supplementalData.identifier [ Identifier ]; # 1..1 Identifier, unique within the measure
    fhir:Measure.supplementalData.usage [ code ], ... ; # 0..* supplemental-data | risk-adjustment-factor
    fhir:Measure.supplementalData.criteria [ string ]; # 0..1 Supplemental data criteria
    fhir:Measure.supplementalData.path [ string ]; # 0..1 Path to the supplemental data element
  ], ...;
]

Changes since DSTU2

This resource did not exist in Release 2

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure DomainResourceA quality measure definition
... url Σ0..1uriLogical uri to reference this measure (globally unique)
... identifier Σ0..*IdentifierAdditional identifier for the measure
... version Σ0..1stringBusiness version of the measure
... name Σ0..1stringName for this measure (Computer friendly)
... title Σ0..1stringName for this measure (Human friendly)
... status ?!Σ1..1codedraft | active | retired
PublicationStatus (Required)
... experimental ?!Σ0..1booleanIf for testing purposes, not real usage
... date Σ0..1dateTimeDate this was last changed
... description 0..1markdownNatural language description of the measure
... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... approvalDate 0..1dateWhen measure approved by publisher
... lastReviewDate 0..1dateLast review date for the measure
... effectivePeriod Σ0..1PeriodThe effective date range for the measure
... useContext Σ0..*UsageContextContent intends to support these contexts
... jurisdiction Σ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Jurisdiction ValueSet (Extensible)
... topic 0..*CodeableConceptDescriptional topics for the measure
... contributor 0..*ContributorA content contributor
... publisher Σ0..1stringName of the publisher (Organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... copyright 0..1markdownUse and/or publishing restrictions
... relatedArtifact 0..*RelatedArtifactRelated artifacts for the measure
... library 0..*Reference(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for the measure
... scoring Σ0..1codeproportion | ratio | continuous-variable | cohort
MeasureScoring (Required)
... compositeScoring Σ0..1codeopportunity | all-or-nothing | linear | weighted
CompositeMeasureScoring (Required)
... type Σ0..*codeprocess | outcome | structure | patient-reported-outcome | composite
MeasureType (Required)
... riskAdjustment Σ0..1stringHow is risk adjustment applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownWhy does this measure exist
... clinicalRecommendationStatement Σ0..1markdownClinical recommendation
... improvementNotation Σ0..1stringImprovement notation for the measure, e.g. higher score indicates better quality
... definition Σ0..1markdownA natural language definition of the measure
... guidance Σ0..1markdownThe guidance for the measure
... set Σ0..1stringThe measure set, e.g. Preventive Care and Screening
... group 0..*BackboneElementPopulation criteria group
.... identifier 1..1IdentifierUnique identifier
.... name 0..1stringShort name
.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... type 1..1codeinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
MeasurePopulationType (Required)
..... identifier 1..1IdentifierUnique identifier
..... name 0..1stringShort name
..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1stringThe name of a valid referenced CQL expression (may be namespaced) that defines this population criteria
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... identifier 1..1IdentifierThe identifier for the stratifier used to coordinate the reported data back to this stratifier
..... criteria 0..1stringStratifier criteria
..... path 0..1stringPath to the stratifier
... supplementalData 0..*BackboneElementSupplemental data
.... identifier 1..1IdentifierIdentifier, unique within the measure
.... usage 0..*codesupplemental-data | risk-adjustment-factor
MeasureDataUsage (Required)
.... criteria 0..1stringSupplemental data criteria
.... path 0..1stringPath to the supplemental data element

doco Documentation for this format

UML Diagram (Legend)

Measure (DomainResource)An absolute URL that is used to identify this measure when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this measure is (or will be) published. The URL SHOULD include the major version of the measure. For more information see [Technical and Business Versions](resource.html#versions)url : uri [0..1]A formal identifier that is used to identify this measure when it is represented in other formats, or referenced in a specification, model, design or an instanceidentifier : Identifier [0..*]The identifier that is used to identify this version of the measure when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the measure author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions are orderable. 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 artifactsversion : string [0..1]A natural language name identifying the measure. This name should be usable as an identifier for the module by machine processing applications such as code generationname : string [0..1]A short, descriptive, user-friendly title for the measuretitle : string [0..1]The status of this measure. Enables tracking the life-cycle of the content (this element modifies the meaning of other elements)status : code [1..1] « The lifecycle status of a Value Set or Concept Map. (Strength=Required)PublicationStatus! »A flag to indicate that this measure is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage (this element modifies the meaning of other elements)experimental : boolean [0..1]The date (and optionally time) when the measure was published. The date must change when the business version changes, if it does, and it must change if the status code changes. In addition, it should change when the substantive content of the measure changesdate : dateTime [0..1]A free text natural language description of the measure from the consumer's perspectivedescription : markdown [0..1]Explains why this measure is needed and why it has been designed as it haspurpose : markdown [0..1]A detailed description of how the measure is used from a clinical perspectiveusage : string [0..1]The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usageapprovalDate : date [0..1]The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval datelastReviewDate : date [0..1]The period during which the measure content was or is planned to be effectiveeffectivePeriod : Period [0..1]The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of code system definitionsuseContext : UsageContext [0..*]A jurisdiction in which the measure is intended to be usedjurisdiction : CodeableConcept [0..*] « Countries and regions within which this artifact is targeted for use (Strength=Extensible)Jurisdiction ValueSet+ »Clinical topics related to the content of the measuretopic : CodeableConcept [0..*]A contributor to the content of the measure, including authors, editors, reviewers, and endorserscontributor : Contributor [0..*]The name of the individual or organization that published the measurepublisher : string [0..1]Contact details to assist a user in finding and communicating with the publishercontact : ContactDetail [0..*]A copyright statement relating to the measure and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the measurecopyright : markdown [0..1]Related artifacts such as additional documentation, justification, or bibliographic referencesrelatedArtifact : RelatedArtifact [0..*]A reference to a Library resource containing the formal logic used by the measurelibrary : Reference [0..*] « Library »A disclaimer for the use of the measuredisclaimer : markdown [0..1]The measure scoring type, e.g. proportion, CVscoring : code [0..1] « The scoring type of the measure (Strength=Required)MeasureScoring! »If this is a composite measure, the scoring method used to combine the component measures to determine the composite scorecompositeScoring : code [0..1] « The composite scoring method of the measure (Strength=Required)CompositeMeasureScoring! »The measure type, e.g. process, outcometype : code [0..*] « The type of measure (includes codes from 2.16.840.1.113883.1.11.20368) (Strength=Required)MeasureType! »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 resultsriskAdjustment : string [0..1]A description of the rate aggregation for the measurerateAggregation : string [0..1]The rationale for the measurerationale : markdown [0..1]The clinical recommendation statement for the measureclinicalRecommendationStatement : markdown [0..1]Improvement notation for the measure, e.g. higher score indicates better qualityimprovementNotation : string [0..1]A narrative description of the complete measure calculationdefinition : markdown [0..1]Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measureguidance : markdown [0..1]The measure set, e.g. Preventive Care and Screeningset : string [0..1]GroupA unique identifier for the group. This identifier will used to report data for the group in the measure reportidentifier : Identifier [1..1]Optional name or short description of this groupname : string [0..1]The human readable description of this population groupdescription : string [0..1]PopulationThe type of population criteriatype : code [1..1] « The type of population (Strength=Required)MeasurePopulationType! »A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure reportidentifier : Identifier [1..1]Optional name or short description of this populationname : string [0..1]The human readable description of this population criteriadescription : string [0..1]The name of a valid referenced CQL expression (may be namespaced) that defines this population criteriacriteria : string [1..1]StratifierThe identifier for the stratifier used to coordinate the reported data back to this stratifieridentifier : Identifier [1..1]The criteria for the stratifier. This must be the name of an expression defined within a referenced librarycriteria : string [0..1]The path to an element that defines the stratifier, specified as a valid FHIR resource pathpath : string [0..1]SupplementalDataAn identifier for the supplemental dataidentifier : Identifier [1..1]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 calculationusage : code [0..*] « The intended usage for supplemental data elements in the measure (Strength=Required)MeasureDataUsage! »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 elementcriteria : string [0..1]The supplemental data to be supplied as part of the measure response, specified as a valid FHIR Resource Pathpath : string [0..1]A population criteria for the measurepopulation[0..*]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 Pathstratifier[0..*]A group of population criteria for the measuregroup[0..*]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 PathsupplementalData[0..*]

XML Template

<Measure xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <url value="[uri]"/><!-- 0..1 Logical uri to reference this measure (globally unique) -->
 <identifier><!-- 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- 0..1 Business version of the measure -->
 <name value="[string]"/><!-- 0..1 Name for this measure (Computer friendly) -->
 <title value="[string]"/><!-- 0..1 Name for this measure (Human friendly) -->
 <status value="[code]"/><!-- 1..1 draft | active | retired -->
 <experimental value="[boolean]"/><!-- 0..1 If for testing purposes, not real usage -->
 <date value="[dateTime]"/><!-- 0..1 Date this was last changed -->
 <description value="[markdown]"/><!-- 0..1 Natural language description of the measure -->
 <purpose value="[markdown]"/><!-- 0..1 Why this measure is defined -->
 <usage value="[string]"/><!-- 0..1 Describes the clinical usage of the measure -->
 <approvalDate value="[date]"/><!-- 0..1 When measure approved by publisher -->
 <lastReviewDate value="[date]"/><!-- 0..1 Last review date for the measure -->
 <effectivePeriod><!-- 0..1 Period The effective date range for the measure --></effectivePeriod>
 <useContext><!-- 0..* UsageContext Content intends to support these contexts --></useContext>
 <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for measure (if applicable) --></jurisdiction>
 <topic><!-- 0..* CodeableConcept Descriptional topics for the measure --></topic>
 <contributor><!-- 0..* Contributor A content contributor --></contributor>
 <publisher value="[string]"/><!-- 0..1 Name of the publisher (Organization or individual) -->
 <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact>
 <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions -->
 <relatedArtifact><!-- 0..* RelatedArtifact Related artifacts for the measure --></relatedArtifact>
 <library><!-- 0..* Reference(Library) Logic used by the measure --></library>
 <disclaimer value="[markdown]"/><!-- 0..1 Disclaimer for the measure -->
 <scoring value="[code]"/><!-- 0..1 proportion | ratio | continuous-variable | cohort -->
 <compositeScoring value="[code]"/><!-- 0..1 opportunity | all-or-nothing | linear | weighted -->
 <type value="[code]"/><!-- 0..* process | outcome | structure | patient-reported-outcome | composite -->
 <riskAdjustment value="[string]"/><!-- 0..1 How is risk adjustment applied for this measure -->
 <rateAggregation value="[string]"/><!-- 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- 0..1 Why does this measure exist -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- 0..1 Clinical recommendation -->
 <improvementNotation value="[string]"/><!-- 0..1 Improvement notation for the measure, e.g. higher score indicates better quality -->
 <definition value="[markdown]"/><!-- 0..1 A natural language definition of the measure -->
 <guidance value="[markdown]"/><!-- 0..1 The guidance for the measure -->
 <set value="[string]"/><!-- 0..1 The measure set, e.g. Preventive Care and Screening -->
 <group>  <!-- 0..* Population criteria group -->
  <identifier><!-- 1..1 Identifier Unique identifier --></identifier>
  <name value="[string]"/><!-- 0..1 Short name -->
  <description value="[string]"/><!-- 0..1 Summary description -->
  <population>  <!-- 0..* Population criteria -->
   <type value="[code]"/><!-- 1..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation -->
   <identifier><!-- 1..1 Identifier Unique identifier --></identifier>
   <name value="[string]"/><!-- 0..1 Short name -->
   <description value="[string]"/><!-- 0..1 The human readable description of this population criteria -->
   <criteria value="[string]"/><!-- 1..1 The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria -->
  </population>
  <stratifier>  <!-- 0..* Stratifier criteria for the measure -->
   <identifier><!-- 1..1 Identifier The identifier for the stratifier used to coordinate the reported data back to this stratifier --></identifier>
   <criteria value="[string]"/><!-- 0..1 Stratifier criteria -->
   <path value="[string]"/><!-- 0..1 Path to the stratifier -->
  </stratifier>
 </group>
 <supplementalData>  <!-- 0..* Supplemental data -->
  <identifier><!-- 1..1 Identifier Identifier, unique within the measure --></identifier>
  <usage value="[code]"/><!-- 0..* supplemental-data | risk-adjustment-factor -->
  <criteria value="[string]"/><!-- 0..1 Supplemental data criteria -->
  <path value="[string]"/><!-- 0..1 Path to the supplemental data element -->
 </supplementalData>
</Measure>

JSON Template

{doco
  "resourceType" : "Measure",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "url" : "<uri>", // Logical uri to reference this measure (globally unique)
  "identifier" : [{ Identifier }], // Additional identifier for the measure
  "version" : "<string>", // Business version of the measure
  "name" : "<string>", // Name for this measure (Computer friendly)
  "title" : "<string>", // Name for this measure (Human friendly)
  "status" : "<code>", // R!  draft | active | retired
  "experimental" : <boolean>, // If for testing purposes, not real usage
  "date" : "<dateTime>", // Date this was last changed
  "description" : "<markdown>", // Natural language description of the measure
  "purpose" : "<markdown>", // Why this measure is defined
  "usage" : "<string>", // Describes the clinical usage of the measure
  "approvalDate" : "<date>", // When measure approved by publisher
  "lastReviewDate" : "<date>", // Last review date for the measure
  "effectivePeriod" : { Period }, // The effective date range for the measure
  "useContext" : [{ UsageContext }], // Content intends to support these contexts
  "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for measure (if applicable)
  "topic" : [{ CodeableConcept }], // Descriptional topics for the measure
  "contributor" : [{ Contributor }], // A content contributor
  "publisher" : "<string>", // Name of the publisher (Organization or individual)
  "contact" : [{ ContactDetail }], // Contact details for the publisher
  "copyright" : "<markdown>", // Use and/or publishing restrictions
  "relatedArtifact" : [{ RelatedArtifact }], // Related artifacts for the measure
  "library" : [{ Reference(Library) }], // Logic used by the measure
  "disclaimer" : "<markdown>", // Disclaimer for the measure
  "scoring" : "<code>", // proportion | ratio | continuous-variable | cohort
  "compositeScoring" : "<code>", // opportunity | all-or-nothing | linear | weighted
  "type" : ["<code>"], // process | outcome | structure | patient-reported-outcome | composite
  "riskAdjustment" : "<string>", // How is risk adjustment applied for this measure
  "rateAggregation" : "<string>", // How is rate aggregation performed for this measure
  "rationale" : "<markdown>", // Why does this measure exist
  "clinicalRecommendationStatement" : "<markdown>", // Clinical recommendation
  "improvementNotation" : "<string>", // Improvement notation for the measure, e.g. higher score indicates better quality
  "definition" : "<markdown>", // A natural language definition of the measure
  "guidance" : "<markdown>", // The guidance for the measure
  "set" : "<string>", // The measure set, e.g. Preventive Care and Screening
  "group" : [{ // Population criteria group
    "identifier" : { Identifier }, // R!  Unique identifier
    "name" : "<string>", // Short name
    "description" : "<string>", // Summary description
    "population" : [{ // Population criteria
      "type" : "<code>", // R!  initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      "identifier" : { Identifier }, // R!  Unique identifier
      "name" : "<string>", // Short name
      "description" : "<string>", // The human readable description of this population criteria
      "criteria" : "<string>" // R!  The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria
    }],
    "stratifier" : [{ // Stratifier criteria for the measure
      "identifier" : { Identifier }, // R!  The identifier for the stratifier used to coordinate the reported data back to this stratifier
      "criteria" : "<string>", // Stratifier criteria
      "path" : "<string>" // Path to the stratifier
    }]
  }],
  "supplementalData" : [{ // Supplemental data
    "identifier" : { Identifier }, // R!  Identifier, unique within the measure
    "usage" : ["<code>"], // supplemental-data | risk-adjustment-factor
    "criteria" : "<string>", // Supplemental data criteria
    "path" : "<string>" // Path to the supplemental data element
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Measure;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:Measure.url [ uri ]; # 0..1 Logical uri to reference this measure (globally unique)
  fhir:Measure.identifier [ Identifier ], ... ; # 0..* Additional identifier for the measure
  fhir:Measure.version [ string ]; # 0..1 Business version of the measure
  fhir:Measure.name [ string ]; # 0..1 Name for this measure (Computer friendly)
  fhir:Measure.title [ string ]; # 0..1 Name for this measure (Human friendly)
  fhir:Measure.status [ code ]; # 1..1 draft | active | retired
  fhir:Measure.experimental [ boolean ]; # 0..1 If for testing purposes, not real usage
  fhir:Measure.date [ dateTime ]; # 0..1 Date this was last changed
  fhir:Measure.description [ markdown ]; # 0..1 Natural language description of the measure
  fhir:Measure.purpose [ markdown ]; # 0..1 Why this measure is defined
  fhir:Measure.usage [ string ]; # 0..1 Describes the clinical usage of the measure
  fhir:Measure.approvalDate [ date ]; # 0..1 When measure approved by publisher
  fhir:Measure.lastReviewDate [ date ]; # 0..1 Last review date for the measure
  fhir:Measure.effectivePeriod [ Period ]; # 0..1 The effective date range for the measure
  fhir:Measure.useContext [ UsageContext ], ... ; # 0..* Content intends to support these contexts
  fhir:Measure.jurisdiction [ CodeableConcept ], ... ; # 0..* Intended jurisdiction for measure (if applicable)
  fhir:Measure.topic [ CodeableConcept ], ... ; # 0..* Descriptional topics for the measure
  fhir:Measure.contributor [ Contributor ], ... ; # 0..* A content contributor
  fhir:Measure.publisher [ string ]; # 0..1 Name of the publisher (Organization or individual)
  fhir:Measure.contact [ ContactDetail ], ... ; # 0..* Contact details for the publisher
  fhir:Measure.copyright [ markdown ]; # 0..1 Use and/or publishing restrictions
  fhir:Measure.relatedArtifact [ RelatedArtifact ], ... ; # 0..* Related artifacts for the measure
  fhir:Measure.library [ Reference(Library) ], ... ; # 0..* Logic used by the measure
  fhir:Measure.disclaimer [ markdown ]; # 0..1 Disclaimer for the measure
  fhir:Measure.scoring [ code ]; # 0..1 proportion | ratio | continuous-variable | cohort
  fhir:Measure.compositeScoring [ code ]; # 0..1 opportunity | all-or-nothing | linear | weighted
  fhir:Measure.type [ code ], ... ; # 0..* process | outcome | structure | patient-reported-outcome | composite
  fhir:Measure.riskAdjustment [ string ]; # 0..1 How is risk adjustment applied for this measure
  fhir:Measure.rateAggregation [ string ]; # 0..1 How is rate aggregation performed for this measure
  fhir:Measure.rationale [ markdown ]; # 0..1 Why does this measure exist
  fhir:Measure.clinicalRecommendationStatement [ markdown ]; # 0..1 Clinical recommendation
  fhir:Measure.improvementNotation [ string ]; # 0..1 Improvement notation for the measure, e.g. higher score indicates better quality
  fhir:Measure.definition [ markdown ]; # 0..1 A natural language definition of the measure
  fhir:Measure.guidance [ markdown ]; # 0..1 The guidance for the measure
  fhir:Measure.set [ string ]; # 0..1 The measure set, e.g. Preventive Care and Screening
  fhir:Measure.group [ # 0..* Population criteria group
    fhir:Measure.group.identifier [ Identifier ]; # 1..1 Unique identifier
    fhir:Measure.group.name [ string ]; # 0..1 Short name
    fhir:Measure.group.description [ string ]; # 0..1 Summary description
    fhir:Measure.group.population [ # 0..* Population criteria
      fhir:Measure.group.population.type [ code ]; # 1..1 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      fhir:Measure.group.population.identifier [ Identifier ]; # 1..1 Unique identifier
      fhir:Measure.group.population.name [ string ]; # 0..1 Short name
      fhir:Measure.group.population.description [ string ]; # 0..1 The human readable description of this population criteria
      fhir:Measure.group.population.criteria [ string ]; # 1..1 The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria
    ], ...;
    fhir:Measure.group.stratifier [ # 0..* Stratifier criteria for the measure
      fhir:Measure.group.stratifier.identifier [ Identifier ]; # 1..1 The identifier for the stratifier used to coordinate the reported data back to this stratifier
      fhir:Measure.group.stratifier.criteria [ string ]; # 0..1 Stratifier criteria
      fhir:Measure.group.stratifier.path [ string ]; # 0..1 Path to the stratifier
    ], ...;
  ], ...;
  fhir:Measure.supplementalData [ # 0..* Supplemental data
    fhir:Measure.supplementalData.identifier [ Identifier ]; # 1..1 Identifier, unique within the measure
    fhir:Measure.supplementalData.usage [ code ], ... ; # 0..* supplemental-data | risk-adjustment-factor
    fhir:Measure.supplementalData.criteria [ string ]; # 0..1 Supplemental data criteria
    fhir:Measure.supplementalData.path [ string ]; # 0..1 Path to the supplemental data element
  ], ...;
]

Changes since DSTU2

This resource did not exist in Release 2

 

Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron (for ) + JSON Schema, ShEx (for Turtle), JSON-LD (for RDF as JSON-LD),

14.7.3.1 Terminology Bindings

PathDefinitionTypeReference
Measure.status The lifecycle status of a Value Set or Concept Map.RequiredPublicationStatus
Measure.jurisdiction Countries and regions within which this artifact is targeted for useExtensibleJurisdiction ValueSet
Measure.scoring The scoring type of the measureRequiredMeasureScoring
Measure.compositeScoring The composite scoring method of the measureRequiredCompositeMeasureScoring
Measure.type The type of measure (includes codes from 2.16.840.1.113883.1.11.20368)RequiredMeasureType
Measure.group.population.type The type of populationRequiredMeasurePopulationType
Measure.supplementalData.usage The intended usage for supplemental data elements in the measureRequiredMeasureDataUsage

14.7.4 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

NameTypeDescriptionPathsIn Common
datedateThe measure publication dateMeasure.date
descriptionstringText search against the description of the measureMeasure.description
effectivedateEffective time associated with the measureMeasure.effectivePeriod
identifiertokenExternal identifiers for the measureMeasure.identifier
jurisdictiontokenIntended jurisdiction for measureMeasure.jurisdiction
namestringName of the measureMeasure.name
publisherstringName of the publisher of the measureMeasure.publisher
statustokenThe current status of the measureMeasure.status
titlestringText search against the title of the measureMeasure.title
topictokenTopics associated with the moduleMeasure.topic
urluriThe uri that identifies the measureMeasure.url
versiontokenThe version identifier of the measureMeasure.version