R5 Final QA

This page is part of the FHIR Specification (v5.0.0-draft-final: Final QA Preview for R5 - see ballot notes). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

14.18.12.7 StructureDefinition: PublishableMeasure

Clinical Quality Information icon Work Group Maturity Level: 0Trial Use Use Context: Any

The canonical URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/publishablemeasure

Supports declaration of the Measure metadata required by HL7 and other organizations that share and publish measures with a focus on the aspects of that metadata that are important for post-publication activities including distribution, inclusion in repositories, consumption, and implementation.

This profile was published on Thu, Jan 1, 1970 00:00+1000 as a draft by HL7.

14.18.12.7.1 Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from ShareableMeasure.

Summary

Mandatory: 1 element
Must-Support: 22 elements

This indicates the differences between this profile and the base ShareableMeasure structure.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1ShareableMeasureA quality measure definition
... identifier S0..*IdentifierAdditional identifier for the measure
... date S1..1dateTimeDate last changed
... contact S0..*ContactDetailContact details for the publisher
... jurisdiction S0..*CodeableConceptIntended jurisdiction for measure (if applicable)
... purpose S0..1markdownWhy this measure is defined
... usage S0..1markdownDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... copyrightLabel S0..1stringCopyright holder and year(s)
... approvalDate S0..1dateWhen the measure was approved by publisher
... lastReviewDate S0..1dateWhen the measure was last reviewed by the publisher
... effectivePeriod S0..1PeriodWhen the measure is expected to be used
... topic S0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc
... author S0..*ContactDetailWho authored the content
... editor S0..*ContactDetailWho edited the content
... reviewer S0..*ContactDetailWho reviewed the content
... endorser S0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc
.... display S0..1stringBrief description of the related artifact
.... document S0..1AttachmentWhat document is being referenced
.... resource S0..1canonical(Resource)What artifact is being referenced
.... resourceReference S0..1Reference(Resource)What artifact, if not a conformance resource

doco Documentation for this format icon

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base ShareableMeasure structure.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C icon1..1ShareableMeasureA quality measure definition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: All Languages (required): IETF language tag for a human language

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... knowledgeCapability S0..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: Knowledge Capability (required)
... knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level (required)
... artifactComment S0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... url SΣC icon1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ0..*IdentifierAdditional identifier for the measure
... version SΣ1..1stringBusiness version of the measure
... versionAlgorithm[x] SΣ0..1How to compare versions
Binding: Version Algorithm (extensible)
.... versionAlgorithmStringstring
.... versionAlgorithmCodingCoding
... name SΣC icon0..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental SΣ0..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Participant Resource Types (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... basis Σ0..1codePopulation basis
Binding: All FHIR Types (required)
... date SΣ1..1dateTimeDate last changed
... publisher SΣ0..1stringName of the publisher/steward (organization or individual)
... contact SΣ0..*ContactDetailContact details for the publisher
... description SΣ1..1markdownNatural language description of the measure
... useContext SΣ0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose S0..1markdownWhy this measure is defined
... usage S0..1markdownDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... copyrightLabel S0..1stringCopyright holder and year(s)
... approvalDate S0..1dateWhen the measure was approved by publisher
... lastReviewDate S0..1dateWhen the measure was last reviewed by the publisher
... effectivePeriod SΣ0..1PeriodWhen the measure is expected to be used
... topic S0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc
Binding: Definition Topic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author S0..*ContactDetailWho authored the content
... editor S0..*ContactDetailWho edited the content
... reviewer S0..*ContactDetailWho reviewed the content
... endorser S0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... type Σ1..1codedocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.

.... classifier Σ0..*CodeableConceptAdditional classifiers
Binding: Citation Artifact Classifier (example): Additional classifiers for the related artifact.


.... label Σ0..1stringShort label
.... display SΣ0..1stringBrief description of the related artifact
.... citation Σ0..1markdownBibliographic citation for the artifact
.... document SΣ0..1AttachmentWhat document is being referenced
.... resource SΣ0..1canonical(Resource)What artifact is being referenced
.... resourceReference SΣ0..1Reference(Resource)What artifact, if not a conformance resource
.... publicationStatus Σ0..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): Publication status of an artifact being referred to.

.... publicationDate Σ0..1dateDate of publication of the artifact being referred to
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: Measure Scoring (extensible): The scoring type of the measure.

... scoringUnit Σ0..1CodeableConceptWhat units?
Binding: Measure Scoring Unit (example)
... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: Composite Measure Scoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: Measure Type (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ0..1markdownHow risk adjustment is applied for this measure
... rateAggregation Σ0..1markdownHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: Measure Improvement Notation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... term 0..*BackboneElementDefined terms used in the measure documentation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptWhat term?
Binding: Measure Definition Example (example): Codeable representations of measure definition terms.

.... definition 0..1markdownMeaning of the term
... guidance ΣXD0..1markdownAdditional guidance for implementers (deprecated)
... group C icon0..*BackboneElementPopulation criteria group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId C icon0..1stringUnique id for group in measure
.... code 0..1CodeableConceptMeaning of the group
Binding: Measure Group Example (example): Example of measure groups.

.... description 0..1markdownSummary description
.... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: Measure Type (extensible)
.... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Participant Resource Types (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

..... subjectCodeableConceptCodeableConcept
..... subjectReferenceReference(Group)
.... basis Σ0..1codePopulation basis
Binding: All FHIR Types (required)
.... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: Measure Scoring (extensible)
.... scoringUnit Σ0..1CodeableConceptWhat units?
Binding: Measure Scoring Unit (example)
.... rateAggregation Σ0..1markdownHow is rate aggregation performed for this measure
.... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: Measure Improvement Notation (required)
.... library 0..*canonical(Library)Logic used by the measure group
.... population 0..*BackboneElementPopulation criteria
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... linkId C icon0..1stringUnique id for population in measure
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type (extensible): The type of population.

..... description 0..1markdownThe human readable description of this population criteria
..... criteria 0..1ExpressionThe criteria that defines this population
..... groupDefinition 0..1Reference(Group)A group resource that defines this population
..... inputPopulationId 0..1stringWhich population
..... aggregateMethod 0..1CodeableConceptAggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)
Binding: Measure Aggregate Method (extensible)
.... stratifier C icon0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... linkId C icon0..1stringUnique id for stratifier in measure
..... code C icon0..1CodeableConceptMeaning of the stratifier
Binding: Measure Stratifier Example (example): Meaning of the stratifier.

..... description C icon0..1markdownThe human readable description of this stratifier
..... criteria C icon0..1ExpressionHow the measure should be stratified
..... groupDefinition 0..1Reference(Group)A group resource that defines this population
..... component C icon0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... linkId C icon0..1stringUnique id for stratifier component in measure
...... code 0..1CodeableConceptMeaning of the stratifier component
Binding: Measure Stratifier Example (example): Meaning of the stratifier.

...... description 0..1markdownThe human readable description of this stratifier component
...... criteria 0..1ExpressionComponent of how the measure should be stratified
...... groupDefinition 0..1Reference(Group)A group resource that defines this population
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId C icon0..1stringUnique id for supplementalData in measure
.... code 0..1CodeableConceptMeaning of the supplemental data
Binding: Measure Supplemental Data Example (example): Meaning of the supplemental data.

.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: Measure Data Usage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1markdownThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format icon
<!-- PublishableMeasure -->doco

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- I 1..1 Canonical identifier for this measure, represented as a URI (globally unique) -->
 <identifier><!-- I 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- I 1..1 Business version of the measure -->
 <versionAlgorithm[x]><!-- I 0..1 string|Coding How to compare versions   --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 0..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- I 1..1 Name for this measure (human friendly) -->
 <subtitle value="[string]"/><!-- I 0..1 Subordinate title of the measure -->
 <status value="[code]"/><!-- I 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- I 0..1 For testing purposes, not real usage -->
 <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
 <basis value="[code]"/><!-- I 0..1 Population basis   -->
 <date value="[dateTime]"/><!-- I 1..1 Date last changed -->
 <publisher value="[string]"/><!-- I 0..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- I 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- I 1..1 Natural language description of the measure -->
 <useContext><!-- I 0..* UsageContext 
     The context that the content is intended to support --></useContext>
 <jurisdiction><!-- I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this measure is defined -->
 <usage value="[markdown]"/><!-- I 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- I 0..1 Copyright holder and year(s) -->
 <approvalDate value="[date]"/><!-- I 0..1 When the measure was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- I 0..1 When the measure was last reviewed by the publisher -->
 <effectivePeriod><!-- I 0..1 Period 
     When the measure is expected to be used --></effectivePeriod>
 <topic><!-- I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the content --></author>
 <editor><!-- I 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact> I 0..* RelatedArtifact  <!-- I 0..* Additional documentation, citations, etc -->
  <type value="[code]"/><!-- I 1..1 documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as   -->
  <classifier><!-- I 0..* CodeableConcept Additional classifiers   --></classifier>
  <label value="[string]"/><!-- I 0..1 Short label -->
  <display value="[string]"/><!-- I 0..1 Brief description of the related artifact -->
  <citation value="[markdown]"/><!-- I 0..1 Bibliographic citation for the artifact -->
  <document><!-- I 0..1 Attachment 
      What document is being referenced --></document>
  <resource value="[canonical]"/><!-- I 0..1 What artifact is being referenced -->
  <resourceReference><!-- I 0..1 Reference(Resource) 
      What artifact, if not a conformance resource --></resourceReference>
  <publicationStatus value="[code]"/><!-- I 0..1 draft | active | retired | unknown   -->
  <publicationDate value="[date]"/><!-- I 0..1 Date of publication of the artifact being referred to -->
 </relatedArtifact>
 <library value="[canonical]"/><!-- I 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- I 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
 <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
 <compositeScoring><!-- I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[markdown]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- I 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- I 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <term> I 0..* BackboneElement  <!-- I 0..* Defined terms used in the measure documentation -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept What term?   --></code>
  <definition value="[markdown]"/><!-- I 0..1 Meaning of the term -->
 </term>
 <guidance value="[markdown]"/><!-- I 0..1 Additional guidance for implementers (deprecated) -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for group in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[markdown]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
  <basis value="[code]"/><!-- I 0..1 Population basis   -->
  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <library value="[canonical]"/><!-- I 0..* Logic used by the measure group -->
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for population in measure -->
   <code><!-- I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 0..1 Expression 
       The criteria that defines this population --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <inputPopulationId value="[string]"/><!-- I 0..1 Which population -->
   <aggregateMethod><!-- I 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)   --></aggregateMethod>
  </population>
  <stratifier> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria for the measure -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier in measure -->
   <code><!-- I 0..1 CodeableConcept Meaning of the stratifier   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this stratifier -->
   <criteria><!-- I 0..1 Expression 
       How the measure should be stratified --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <component> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria component for the measure -->
    <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
    <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier component in measure -->
    <code><!-- I 0..1 CodeableConcept Meaning of the stratifier component   --></code>
    <description value="[markdown]"/><!-- I 0..1 
        The human readable description of this stratifier component -->
    <criteria><!-- I 0..1 Expression 
        Component of how the measure should be stratified --></criteria>
    <groupDefinition><!-- I 0..1 Reference(Group) 
        A group resource that defines this population --></groupDefinition>
   </component>
  </stratifier>
 </group>
 <supplementalData> I 0..* BackboneElement  <!-- I 0..* What other data should be reported with the measure -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for supplementalData in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the supplemental data   --></code>
  <usage><!-- I 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[markdown]"/><!-- I 0..1 The human readable description of this supplemental data -->
  <criteria><!-- I 1..1 Expression 
      Expression describing additional data to be reported --></criteria>
 </supplementalData>
</Measure>

{ // PublishableMeasure
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // shareable | computable | publishable | executable // I
        // from Element: extension
      },
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      },
      { // Additional documentation, review, or usage guidance // I
        // from Element: extension
      }
    ],
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // IAdditional identifier for the measure
    "version" : "<string>", // I R! Business version of the measure
  // value[x]: How to compare versions. One of these 2:
    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this measure (computer friendly)
    "title" : "<string>", // I R! Name for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // IFor testing purposes, not real usage
  // value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "basis" : "<code>", // IPopulation basis
    "date" : "<dateTime>", // I R! Date last changed
    "publisher" : "<string>", // IName of the publisher/steward (organization or individual)
    "contact" : [{ ContactDetail }], // IContact details for the publisher
    "description" : "<markdown>", // I R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // IThe context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // IIntended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // IWhy this measure is defined
    "usage" : "<markdown>", // IDescribes the clinical usage of the measure
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "copyrightLabel" : "<string>", // ICopyright holder and year(s)
    "approvalDate" : "<date>", // IWhen the measure was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the measure was last reviewed by the publisher
    "effectivePeriod" : { Period }, // IWhen the measure is expected to be used
    "topic" : [{ CodeableConcept }], // IThe category of the measure, such as Education, Treatment, Assessment, etc
    "author" : [{ ContactDetail }], // IWho authored the content
    "editor" : [{ ContactDetail }], // IWho edited the content
    "reviewer" : [{ ContactDetail }], // IWho reviewed the content
    "endorser" : [{ ContactDetail }], // IWho endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // IAdditional documentation, citations, etc
    "library" : ["<canonical>"], // ILogic used by the measure
    "disclaimer" : "<markdown>", // IDisclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // Iproportion | ratio | continuous-variable | cohort
    "scoringUnit" : { CodeableConcept }, // IWhat units?
    "compositeScoring" : { CodeableConcept }, // Iopportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // Iprocess | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<markdown>", // IHow risk adjustment is applied for this measure
    "rateAggregation" : "<markdown>", // IHow is rate aggregation performed for this measure
    "rationale" : "<markdown>", // IDetailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // ISummary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // Iincrease | decrease
    "term" : [{ BackboneElement }], // IDefined terms used in the measure documentation
    "guidance" : "<markdown>", // IAdditional guidance for implementers (deprecated)
    "group" : [{ BackboneElement }], // IPopulation criteria group
    "supplementalData" : [{ BackboneElement }], // IWhat other data should be reported with the measure
  }

This structure is derived from ShareableMeasure.

Summary

Mandatory: 1 element
Must-Support: 22 elements

Differential View

This indicates the differences between this profile and the base ShareableMeasure structure.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1ShareableMeasureA quality measure definition
... identifier S0..*IdentifierAdditional identifier for the measure
... date S1..1dateTimeDate last changed
... contact S0..*ContactDetailContact details for the publisher
... jurisdiction S0..*CodeableConceptIntended jurisdiction for measure (if applicable)
... purpose S0..1markdownWhy this measure is defined
... usage S0..1markdownDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... copyrightLabel S0..1stringCopyright holder and year(s)
... approvalDate S0..1dateWhen the measure was approved by publisher
... lastReviewDate S0..1dateWhen the measure was last reviewed by the publisher
... effectivePeriod S0..1PeriodWhen the measure is expected to be used
... topic S0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc
... author S0..*ContactDetailWho authored the content
... editor S0..*ContactDetailWho edited the content
... reviewer S0..*ContactDetailWho reviewed the content
... endorser S0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc
.... display S0..1stringBrief description of the related artifact
.... document S0..1AttachmentWhat document is being referenced
.... resource S0..1canonical(Resource)What artifact is being referenced
.... resourceReference S0..1Reference(Resource)What artifact, if not a conformance resource

doco Documentation for this format icon

Snapshot View

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base ShareableMeasure structure.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C icon1..1ShareableMeasureA quality measure definition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: All Languages (required): IETF language tag for a human language

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... knowledgeCapability S0..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: Knowledge Capability (required)
... knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level (required)
... artifactComment S0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... url SΣC icon1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ0..*IdentifierAdditional identifier for the measure
... version SΣ1..1stringBusiness version of the measure
... versionAlgorithm[x] SΣ0..1How to compare versions
Binding: Version Algorithm (extensible)
.... versionAlgorithmStringstring
.... versionAlgorithmCodingCoding
... name SΣC icon0..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental SΣ0..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Participant Resource Types (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... basis Σ0..1codePopulation basis
Binding: All FHIR Types (required)
... date SΣ1..1dateTimeDate last changed
... publisher SΣ0..1stringName of the publisher/steward (organization or individual)
... contact SΣ0..*ContactDetailContact details for the publisher
... description SΣ1..1markdownNatural language description of the measure
... useContext SΣ0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose S0..1markdownWhy this measure is defined
... usage S0..1markdownDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... copyrightLabel S0..1stringCopyright holder and year(s)
... approvalDate S0..1dateWhen the measure was approved by publisher
... lastReviewDate S0..1dateWhen the measure was last reviewed by the publisher
... effectivePeriod SΣ0..1PeriodWhen the measure is expected to be used
... topic S0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc
Binding: Definition Topic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author S0..*ContactDetailWho authored the content
... editor S0..*ContactDetailWho edited the content
... reviewer S0..*ContactDetailWho reviewed the content
... endorser S0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... type Σ1..1codedocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.

.... classifier Σ0..*CodeableConceptAdditional classifiers
Binding: Citation Artifact Classifier (example): Additional classifiers for the related artifact.


.... label Σ0..1stringShort label
.... display SΣ0..1stringBrief description of the related artifact
.... citation Σ0..1markdownBibliographic citation for the artifact
.... document SΣ0..1AttachmentWhat document is being referenced
.... resource SΣ0..1canonical(Resource)What artifact is being referenced
.... resourceReference SΣ0..1Reference(Resource)What artifact, if not a conformance resource
.... publicationStatus Σ0..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): Publication status of an artifact being referred to.

.... publicationDate Σ0..1dateDate of publication of the artifact being referred to
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: Measure Scoring (extensible): The scoring type of the measure.

... scoringUnit Σ0..1CodeableConceptWhat units?
Binding: Measure Scoring Unit (example)
... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: Composite Measure Scoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: Measure Type (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ0..1markdownHow risk adjustment is applied for this measure
... rateAggregation Σ0..1markdownHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: Measure Improvement Notation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... term 0..*BackboneElementDefined terms used in the measure documentation
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptWhat term?
Binding: Measure Definition Example (example): Codeable representations of measure definition terms.

.... definition 0..1markdownMeaning of the term
... guidance ΣXD0..1markdownAdditional guidance for implementers (deprecated)
... group C icon0..*BackboneElementPopulation criteria group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId C icon0..1stringUnique id for group in measure
.... code 0..1CodeableConceptMeaning of the group
Binding: Measure Group Example (example): Example of measure groups.

.... description 0..1markdownSummary description
.... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: Measure Type (extensible)
.... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Participant Resource Types (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

..... subjectCodeableConceptCodeableConcept
..... subjectReferenceReference(Group)
.... basis Σ0..1codePopulation basis
Binding: All FHIR Types (required)
.... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: Measure Scoring (extensible)
.... scoringUnit Σ0..1CodeableConceptWhat units?
Binding: Measure Scoring Unit (example)
.... rateAggregation Σ0..1markdownHow is rate aggregation performed for this measure
.... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: Measure Improvement Notation (required)
.... library 0..*canonical(Library)Logic used by the measure group
.... population 0..*BackboneElementPopulation criteria
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... linkId C icon0..1stringUnique id for population in measure
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type (extensible): The type of population.

..... description 0..1markdownThe human readable description of this population criteria
..... criteria 0..1ExpressionThe criteria that defines this population
..... groupDefinition 0..1Reference(Group)A group resource that defines this population
..... inputPopulationId 0..1stringWhich population
..... aggregateMethod 0..1CodeableConceptAggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)
Binding: Measure Aggregate Method (extensible)
.... stratifier C icon0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... linkId C icon0..1stringUnique id for stratifier in measure
..... code C icon0..1CodeableConceptMeaning of the stratifier
Binding: Measure Stratifier Example (example): Meaning of the stratifier.

..... description C icon0..1markdownThe human readable description of this stratifier
..... criteria C icon0..1ExpressionHow the measure should be stratified
..... groupDefinition 0..1Reference(Group)A group resource that defines this population
..... component C icon0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... linkId C icon0..1stringUnique id for stratifier component in measure
...... code 0..1CodeableConceptMeaning of the stratifier component
Binding: Measure Stratifier Example (example): Meaning of the stratifier.

...... description 0..1markdownThe human readable description of this stratifier component
...... criteria 0..1ExpressionComponent of how the measure should be stratified
...... groupDefinition 0..1Reference(Group)A group resource that defines this population
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... linkId C icon0..1stringUnique id for supplementalData in measure
.... code 0..1CodeableConceptMeaning of the supplemental data
Binding: Measure Supplemental Data Example (example): Meaning of the supplemental data.

.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: Measure Data Usage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1markdownThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format icon

XML Template

<!-- PublishableMeasure -->doco

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- I 1..1 Canonical identifier for this measure, represented as a URI (globally unique) -->
 <identifier><!-- I 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- I 1..1 Business version of the measure -->
 <versionAlgorithm[x]><!-- I 0..1 string|Coding How to compare versions   --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 0..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- I 1..1 Name for this measure (human friendly) -->
 <subtitle value="[string]"/><!-- I 0..1 Subordinate title of the measure -->
 <status value="[code]"/><!-- I 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- I 0..1 For testing purposes, not real usage -->
 <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
 <basis value="[code]"/><!-- I 0..1 Population basis   -->
 <date value="[dateTime]"/><!-- I 1..1 Date last changed -->
 <publisher value="[string]"/><!-- I 0..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- I 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- I 1..1 Natural language description of the measure -->
 <useContext><!-- I 0..* UsageContext 
     The context that the content is intended to support --></useContext>
 <jurisdiction><!-- I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this measure is defined -->
 <usage value="[markdown]"/><!-- I 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- I 0..1 Copyright holder and year(s) -->
 <approvalDate value="[date]"/><!-- I 0..1 When the measure was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- I 0..1 When the measure was last reviewed by the publisher -->
 <effectivePeriod><!-- I 0..1 Period 
     When the measure is expected to be used --></effectivePeriod>
 <topic><!-- I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the content --></author>
 <editor><!-- I 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact> I 0..* RelatedArtifact  <!-- I 0..* Additional documentation, citations, etc -->
  <type value="[code]"/><!-- I 1..1 documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as   -->
  <classifier><!-- I 0..* CodeableConcept Additional classifiers   --></classifier>
  <label value="[string]"/><!-- I 0..1 Short label -->
  <display value="[string]"/><!-- I 0..1 Brief description of the related artifact -->
  <citation value="[markdown]"/><!-- I 0..1 Bibliographic citation for the artifact -->
  <document><!-- I 0..1 Attachment 
      What document is being referenced --></document>
  <resource value="[canonical]"/><!-- I 0..1 What artifact is being referenced -->
  <resourceReference><!-- I 0..1 Reference(Resource) 
      What artifact, if not a conformance resource --></resourceReference>
  <publicationStatus value="[code]"/><!-- I 0..1 draft | active | retired | unknown   -->
  <publicationDate value="[date]"/><!-- I 0..1 Date of publication of the artifact being referred to -->
 </relatedArtifact>
 <library value="[canonical]"/><!-- I 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- I 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
 <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
 <compositeScoring><!-- I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[markdown]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- I 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- I 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <term> I 0..* BackboneElement  <!-- I 0..* Defined terms used in the measure documentation -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept What term?   --></code>
  <definition value="[markdown]"/><!-- I 0..1 Meaning of the term -->
 </term>
 <guidance value="[markdown]"/><!-- I 0..1 Additional guidance for implementers (deprecated) -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for group in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[markdown]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
  <basis value="[code]"/><!-- I 0..1 Population basis   -->
  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <library value="[canonical]"/><!-- I 0..* Logic used by the measure group -->
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for population in measure -->
   <code><!-- I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 0..1 Expression 
       The criteria that defines this population --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <inputPopulationId value="[string]"/><!-- I 0..1 Which population -->
   <aggregateMethod><!-- I 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)   --></aggregateMethod>
  </population>
  <stratifier> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria for the measure -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier in measure -->
   <code><!-- I 0..1 CodeableConcept Meaning of the stratifier   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this stratifier -->
   <criteria><!-- I 0..1 Expression 
       How the measure should be stratified --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <component> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria component for the measure -->
    <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
    <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier component in measure -->
    <code><!-- I 0..1 CodeableConcept Meaning of the stratifier component   --></code>
    <description value="[markdown]"/><!-- I 0..1 
        The human readable description of this stratifier component -->
    <criteria><!-- I 0..1 Expression 
        Component of how the measure should be stratified --></criteria>
    <groupDefinition><!-- I 0..1 Reference(Group) 
        A group resource that defines this population --></groupDefinition>
   </component>
  </stratifier>
 </group>
 <supplementalData> I 0..* BackboneElement  <!-- I 0..* What other data should be reported with the measure -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for supplementalData in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the supplemental data   --></code>
  <usage><!-- I 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[markdown]"/><!-- I 0..1 The human readable description of this supplemental data -->
  <criteria><!-- I 1..1 Expression 
      Expression describing additional data to be reported --></criteria>
 </supplementalData>
</Measure>

JSON Template

{ // PublishableMeasure
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // shareable | computable | publishable | executable // I
        // from Element: extension
      },
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      },
      { // Additional documentation, review, or usage guidance // I
        // from Element: extension
      }
    ],
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // IAdditional identifier for the measure
    "version" : "<string>", // I R! Business version of the measure
  // value[x]: How to compare versions. One of these 2:
    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this measure (computer friendly)
    "title" : "<string>", // I R! Name for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // IFor testing purposes, not real usage
  // value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "basis" : "<code>", // IPopulation basis
    "date" : "<dateTime>", // I R! Date last changed
    "publisher" : "<string>", // IName of the publisher/steward (organization or individual)
    "contact" : [{ ContactDetail }], // IContact details for the publisher
    "description" : "<markdown>", // I R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // IThe context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // IIntended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // IWhy this measure is defined
    "usage" : "<markdown>", // IDescribes the clinical usage of the measure
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "copyrightLabel" : "<string>", // ICopyright holder and year(s)
    "approvalDate" : "<date>", // IWhen the measure was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the measure was last reviewed by the publisher
    "effectivePeriod" : { Period }, // IWhen the measure is expected to be used
    "topic" : [{ CodeableConcept }], // IThe category of the measure, such as Education, Treatment, Assessment, etc
    "author" : [{ ContactDetail }], // IWho authored the content
    "editor" : [{ ContactDetail }], // IWho edited the content
    "reviewer" : [{ ContactDetail }], // IWho reviewed the content
    "endorser" : [{ ContactDetail }], // IWho endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // IAdditional documentation, citations, etc
    "library" : ["<canonical>"], // ILogic used by the measure
    "disclaimer" : "<markdown>", // IDisclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // Iproportion | ratio | continuous-variable | cohort
    "scoringUnit" : { CodeableConcept }, // IWhat units?
    "compositeScoring" : { CodeableConcept }, // Iopportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // Iprocess | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<markdown>", // IHow risk adjustment is applied for this measure
    "rateAggregation" : "<markdown>", // IHow is rate aggregation performed for this measure
    "rationale" : "<markdown>", // IDetailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // ISummary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // Iincrease | decrease
    "term" : [{ BackboneElement }], // IDefined terms used in the measure documentation
    "guidance" : "<markdown>", // IAdditional guidance for implementers (deprecated)
    "group" : [{ BackboneElement }], // IPopulation criteria group
    "supplementalData" : [{ BackboneElement }], // IWhat other data should be reported with the measure
  }

 

Alternate definitions: Master Definition (XML, JSON), Schematron

14.18.12.7.2 Terminology Bindings

PathNameConformanceValueSet
Measure.languageAll LanguagesrequiredAll Languages
Measure.versionAlgorithm[x]Version AlgorithmextensibleVersion Algorithm
Measure.statusPublicationStatusrequiredPublicationStatus
Measure.subject[x]Participant Resource TypesextensibleParticipant Resource Types
Measure.basisAll FHIR TypesrequiredAll FHIR Types
Measure.jurisdictionJurisdiction ValueSetextensibleJurisdiction ValueSet
Measure.topicDefinition TopicexampleDefinition Topic
Measure.relatedArtifact.typeRelatedArtifactTyperequiredRelatedArtifactType
Measure.relatedArtifact.classifierCitation Artifact ClassifierexampleCitation Artifact Classifier
Measure.relatedArtifact.publicationStatusPublicationStatusrequiredPublicationStatus
Measure.scoringMeasure ScoringextensibleMeasure Scoring
Measure.scoringUnitMeasure Scoring UnitexampleMeasure Scoring Unit
Measure.compositeScoringComposite Measure ScoringextensibleComposite Measure Scoring
Measure.typeMeasure TypeextensibleMeasure Type
Measure.improvementNotationMeasure Improvement NotationrequiredMeasure Improvement Notation
Measure.term.codeMeasure Definition ExampleexampleMeasure Definition Example
Measure.group.codeMeasure Group ExampleexampleMeasure Group Example
Measure.group.typeMeasure TypeextensibleMeasure Type
Measure.group.subject[x]Participant Resource TypesextensibleParticipant Resource Types
Measure.group.basisAll FHIR TypesrequiredAll FHIR Types
Measure.group.scoringMeasure ScoringextensibleMeasure Scoring
Measure.group.scoringUnitMeasure Scoring UnitexampleMeasure Scoring Unit
Measure.group.improvementNotationMeasure Improvement NotationrequiredMeasure Improvement Notation
Measure.group.population.codeMeasure Population TypeextensibleMeasure Population Type
Measure.group.population.aggregateMethodMeasure Aggregate MethodextensibleMeasure Aggregate Method
Measure.group.stratifier.codeMeasure Stratifier ExampleexampleMeasure Stratifier Example
Measure.group.stratifier.component.codeMeasure Stratifier ExampleexampleMeasure Stratifier Example
Measure.supplementalData.codeMeasure Supplemental Data ExampleexampleMeasure Supplemental Data Example
Measure.supplementalData.usageMeasure Data UsageextensibleMeasure Data Usage
. .