Quality Measure Implementation Guide
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions 
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="ratio-measure-cqfm"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure">Measure</a><a name="Measure"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.scoring">scoring</a><a name="Measure.scoring"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/measure-scoring","code":"ratio","display":"Ratio"}]}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group">group</a><a name="Measure.group"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck012.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population">population</a><a name="Measure.group.population"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:code</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck015.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:initialPopulation" title="Slice initialPopulation: ">population</a><a name="Measure.group.population"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..2</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Initial Population</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0140.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:initialPopulation.code">code</a><a name="Measure.group.population.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/measure-population","code":"initial-population","display":"Initial Population"}]}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck015.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:denominator" title="Slice denominator: ">population</a><a name="Measure.group.population"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Denominator</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0140.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:denominator.code">code</a><a name="Measure.group.population.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/measure-population","code":"denominator","display":"Denominator"}]}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck015.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:denominatorExclusion" title="Slice denominatorExclusion: ">population</a><a name="Measure.group.population"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Denominator Exclusion</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0140.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:denominatorExclusion.code">code</a><a name="Measure.group.population.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/measure-population","code":"denominator-exclusion","display":"Denominator Exclusion"}]}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck015.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:numerator" title="Slice numerator: ">population</a><a name="Measure.group.population"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Numerator</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0140.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:numerator.code">code</a><a name="Measure.group.population.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/measure-population","code":"numerator","display":"Numerator"}]}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck005.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:numeratorExclusion" title="Slice numeratorExclusion: ">population</a><a name="Measure.group.population"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Numerator Exclusion</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0040.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slice.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-ratio-measure-cqfm-definitions.html#Measure.group.population:numeratorExclusion.code">code</a><a name="Measure.group.population.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/measure-population","code":"numerator-exclusion","display":"Numerator Exclusion"}]}</span></td></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/STU3/formats.html#table" title="Legend for this format"><img src="http://hl7.org/fhir/STU3/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div> </text> <url value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/ratio-measure-cqfm"/> <version value="0.1.0"/> <name value="CQFMRatioMeasure"/> <status value="active"/> <experimental value="false"/> <date value="2019-02-13T00:00:00+11:00"/> <publisher value="Health Level Seven, Inc. - CQI WG"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/special/committees/CQI"/> </telecom> </contact> <description value="The CQFM Ratio Measure Profile describes a ratio scoring measure"/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> <display value="United States of America"/> </coding> </jurisdiction> <fhirVersion value="3.0.1"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/w5"/> <name value="W5 Mapping"/> </mapping> <mapping> <identity value="objimpl"/> <uri value="http://hl7.org/fhir/object-implementation"/> <name value="Object Implementation Information"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Measure"/> <baseDefinition value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm"/> <derivation value="constraint"/> <snapshot> <element id="Measure"> <path value="Measure"/> <short value="A quality measure definition"/> <definition value="The Measure resource provides the definition of a quality measure."/> <min value="0"/> <max value="*"/> <base> <path value="Measure"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <xpath value="not(parent::f:contained and f:contained)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-1"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> <expression value="contained.text.empty()"/> <xpath value="not(parent::f:contained and f:text)"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/> <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> <source value="DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/> <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/> <source value="DomainResource"/> </constraint> <mustSupport value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Definition"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.general"/> </mapping> </element> <element id="Measure.id"> <path value="Measure.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/> <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="id"/> </type> <isSummary value="true"/> </element> <element id="Measure.meta"> <path value="Measure.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <isSummary value="true"/> </element> <element id="Measure.implicitRules"> <path value="Measure.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/> <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isModifier value="true"/> <isSummary value="true"/> </element> <element id="Measure.language"> <path value="Measure.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/> <min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"> <valueReference> <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> </valueReference> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="A human language."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/languages"/> </valueSetReference> </binding> </element> <element id="Measure.text"> <path value="Measure.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/> <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/> <alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-1"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Measure.contained"> <path value="Measure.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/> <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/> <alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.extension"> <path value="Measure.extension"/> <slicing id="1"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Measure.extension:populationBasis"> <path value="Measure.extension"/> <sliceName value="populationBasis"/> <short value="What type of population"/> <definition value="The population basis specifies the type of elements in the population. For a subject-based measure, this would be boolean (because the population criteria define yes/no values for each individual subject). For a non-subject-based measure, this would be the type of elements in the population (such as encounters or procedures)."/> <comment value="In Health Quality Measure Format, this was referred to as the Item Count metadata attribute."/> <requirements value="A published measure must have a canonical url defined."/> <min value="1"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="Measure.extension:allocation"> <path value="Measure.extension"/> <sliceName value="allocation"/> <short value="Allocation guidance"/> <definition value="Specifies additional guidance for determining how the allocation for the measure specification should be performed."/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.modifierExtension"> <path value="Measure.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.url"> <path value="Measure.url"/> <short value="Logical URI to reference this measure (globally unique)"/> <definition value="An absolute URI 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](http://hl7.org/fhir/STU3/resource.html#versions)."/> <comment value="Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. Multiple instances may share the same url if they have a distinct version."/> <requirements value="A published measure must have a canonical url defined."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.url"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.url"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="Measure.identifier"> <path value="Measure.identifier"/> <short value="Additional identifier for the measure"/> <definition value="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 instance."/> <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this measure outside of FHIR, where it is not possible to use the logical URI."/> <requirements value="A published measure must have at least one identifier defined."/> <min value="1"/> <max value="*"/> <base> <path value="Measure.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.identifier"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> <mapping> <identity value="w5"/> <map value="id"/> </mapping> </element> <element id="Measure.version"> <path value="Measure.version"/> <short value="Business version of the measure"/> <definition value="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 can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts."/> <comment value="There may be different measure instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a refrence to a particular business version of the measure with the format [url]|[version]."/> <requirements value="A published measure must specify a content version."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.version"/> </mapping> <mapping> <identity value="w5"/> <map value="id.version"/> </mapping> </element> <element id="Measure.name"> <path value="Measure.name"/> <short value="Name for this measure (computer friendly)"/> <definition value="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 generation."/> <comment value="The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly."/> <requirements value="A published measure must specify a valid, machine-friendly name."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isSummary value="true"/> </element> <element id="Measure.title"> <path value="Measure.title"/> <short value="Name for this measure (human friendly)"/> <definition value="A short, descriptive, user-friendly title for the measure."/> <comment value="This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc."/> <requirements value="A published measure must specify a human-friendly title."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.title"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.title"/> </mapping> </element> <element id="Measure.status"> <path value="Measure.status"/> <short value="draft | active | retired | unknown"/> <definition value="The status of this measure. Enables tracking the life-cycle of the content."/> <comment value="Allows filtering of measures that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use a retired measure without due consideration."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isModifier value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="PublicationStatus"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <description value="The lifecycle status of a Value Set or Concept Map."/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/publication-status"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Definition.status"/> </mapping> <mapping> <identity value="w5"/> <map value="status"/> </mapping> </element> <element id="Measure.experimental"> <path value="Measure.experimental"/> <short value="For testing purposes, not real usage"/> <definition value="A boolean value to indicate that this measure is authored for testing purposes (or education/evaluation/marketing), and is not intended to be used for genuine usage."/> <comment value="Allows filtering of measure that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use an experimental measure in production."/> <requirements value="Enables experimental content to be developed following the same lifecycle that would be used for a production-level measure."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.experimental"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.experimental"/> </mapping> <mapping> <identity value="w5"/> <map value="class"/> </mapping> </element> <element id="Measure.date"> <path value="Measure.date"/> <short value="Date this was last changed"/> <definition value="The date (and optionally time) when the measure was published. The date must change if and when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the measure changes."/> <comment value="Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource."/> <requirements value="A published measure must specify the date the measure content was last changed."/> <alias value="Revision Date"/> <min value="1"/> <max value="1"/> <base> <path value="Measure.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.date"/> </mapping> <mapping> <identity value="w5"/> <map value="when.recorded"/> </mapping> </element> <element id="Measure.publisher"> <path value="Measure.publisher"/> <short value="Name of the publisher (organization or individual)"/> <definition value="The name of the individual or organization that published the measure."/> <comment value="Usually an organization, but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context."/> <requirements value="A published measure must provide publisher information."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.publisher"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.publisher"/> </mapping> <mapping> <identity value="w5"/> <map value="who.witness"/> </mapping> </element> <element id="Measure.description"> <path value="Measure.description"/> <short value="Natural language description of the measure"/> <definition value="A free text natural language description of the measure from a consumer's perspective."/> <comment value="This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created)."/> <requirements value="A published measure must provide a concise description of the measure content."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.description"/> </mapping> </element> <element id="Measure.purpose"> <path value="Measure.purpose"/> <short value="Why this measure is defined"/> <definition value="Explaination of why this measure is needed and why it has been designed as it has."/> <comment value="This element does not describe the usage of the measure Instead it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this measure."/> <requirements value="A published measure should provide a clear description of the purpose of the measure."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.purpose"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <mustSupport value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.purpose"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> <mapping> <identity value="w5"/> <map value="why"/> </mapping> </element> <element id="Measure.usage"> <path value="Measure.usage"/> <short value="Describes the clinical usage of the measure"/> <definition value="A detailed description of how the measure is used from a clinical perspective."/> <requirements value="A published measure should provide clinical usage notes for the measure."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.usage"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> </element> <element id="Measure.approvalDate"> <path value="Measure.approvalDate"/> <short value="When the measure was approved by publisher"/> <definition value="The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage."/> <comment value="The 'date' element may be more recent than the approval date because of minor changes / editorial corrections."/> <requirements value="A published measure must indicate the date the measure content was approved by the publisher."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.approvalDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mustSupport value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.approvalDate"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.lastReviewDate"> <path value="Measure.lastReviewDate"/> <short value="When the measure was last reviewed"/> <definition value="The date on which the resource content was last reviewed. Review happens periodically after approval, but doesn't change the original approval date."/> <comment value="If specified, this is usually after the approval date."/> <requirements value="A published measure must indicate when the measure content was last reviewed."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.lastReviewDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <mustSupport value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.lastReviewDate"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.effectivePeriod"> <path value="Measure.effectivePeriod"/> <short value="When the measure is expected to be used"/> <definition value="The period during which the measure content was or is planned to be in active use."/> <comment value="The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015."/> <requirements value="A published measure should provide an indication of the period during which the measure content can be effectively applied."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.effectivePeriod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.effectivePeriod"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.useContext"> <path value="Measure.useContext"/> <short value="Context the content is intended to support"/> <definition value="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 for appropriate measure instances."/> <comment value="When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply."/> <requirements value="A published measure should provide a clear indication of the expected contexts of use for the measure content."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.useContext"/> <min value="0"/> <max value="*"/> </base> <type> <code value="UsageContext"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.useContext"/> </mapping> </element> <element id="Measure.jurisdiction"> <path value="Measure.jurisdiction"/> <short value="Intended jurisdiction for measure (if applicable)"/> <definition value="A legal or geographic region in which the measure is intended to be used."/> <comment value="It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended."/> <requirements value="A published measure should indicate intended jurisdictions for the measure content."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.jurisdiction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Jurisdiction"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="Countries and regions within which this artifact is targeted for use"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/jurisdiction"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Definition.jurisdiction"/> </mapping> </element> <element id="Measure.topic"> <path value="Measure.topic"/> <short value="E.g. Education, Treatment, Assessment, etc"/> <definition value="Descriptive topics related to the content of the measure. Topics provide a high-level categorization of the type of the measure that can be useful for filtering and searching."/> <requirements value="A published measure should provide relevant topics for the measure content."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.topic"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DefinitionTopic"/> </extension> <strength value="example"/> <description value="High-level categorization of the definition, used for searching, sorting, and filtering"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/definition-topic"/> </valueSetReference> </binding> </element> <element id="Measure.contributor"> <path value="Measure.contributor"/> <short value="A content contributor"/> <definition value="A contributor to the content of the measure, including authors, editors, reviewers, and endorsers."/> <requirements value="A published measure should provide information on contributors to the measure content."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.contributor"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Contributor"/> </type> <mustSupport value="true"/> </element> <element id="Measure.contact"> <path value="Measure.contact"/> <short value="Contact details for the publisher"/> <definition value="Contact details to assist a user in finding and communicating with the publisher."/> <comment value="May be a web site, an email address, a telephone number, etc."/> <requirements value="A published measure must provide contact information for the publisher."/> <min value="1"/> <max value="*"/> <base> <path value="Measure.contact"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ContactDetail"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.contact"/> </mapping> </element> <element id="Measure.copyright"> <path value="Measure.copyright"/> <short value="Use and/or publishing restrictions"/> <definition value="A copyright statement relating to the measure and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the measure."/> <requirements value="A published measure should provide copyright information for the measure content."/> <alias value="License"/> <alias value="Restrictions"/> <min value="0"/> <max value="1"/> <base> <path value="Measure.copyright"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <mustSupport value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.copyright"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.relatedArtifact"> <path value="Measure.relatedArtifact"/> <short value="Additional documentation, citations, etc"/> <definition value="Related artifacts such as additional documentation, justification, or bibliographic references."/> <comment value="Each related artifact is either an attachment, or a reference to another resource, but not both."/> <requirements value="A published measure should provide related information such as supporting evidence, citations, and documentation."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.relatedArtifact"/> <min value="0"/> <max value="*"/> </base> <type> <code value="RelatedArtifact"/> </type> <mustSupport value="true"/> </element> <element id="Measure.relatedArtifact.id"> <path value="Measure.relatedArtifact.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.relatedArtifact.extension"> <path value="Measure.relatedArtifact.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.relatedArtifact.extension:isPrimaryCitation"> <path value="Measure.relatedArtifact.extension"/> <sliceName value="isPrimaryCitation"/> <short value="Primary reference"/> <definition value="Specifies whether the related artifact is defining a primary citation for the measure (i.e. one that should appear in the narrative for the measure specification."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation"/> </type> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.relatedArtifact.extension:isPrimaryCitation.id"> <path value="Measure.relatedArtifact.extension.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.relatedArtifact.extension:isPrimaryCitation.extension"> <path value="Measure.relatedArtifact.extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.relatedArtifact.extension:isPrimaryCitation.url"> <path value="Measure.relatedArtifact.extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <fixedUri value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.relatedArtifact.extension:isPrimaryCitation.valueBoolean"> <path value="Measure.relatedArtifact.extension.valueBoolean"/> <short value="Value of extension"/> <definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.relatedArtifact.type"> <path value="Measure.relatedArtifact.type"/> <short value="documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of"/> <definition value="The type of relationship to the related artifact."/> <min value="1"/> <max value="1"/> <base> <path value="RelatedArtifact.type"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RelatedArtifactType"/> </extension> <strength value="required"/> <description value="The type of relationship to the related artifact"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/related-artifact-type"/> </valueSetReference> </binding> </element> <element id="Measure.relatedArtifact.display"> <path value="Measure.relatedArtifact.display"/> <short value="Brief description of the related artifact"/> <definition value="A brief description of the document or knowledge resource being referenced, suitable for display to a consumer."/> <min value="0"/> <max value="1"/> <base> <path value="RelatedArtifact.display"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> </element> <element id="Measure.relatedArtifact.citation"> <path value="Measure.relatedArtifact.citation"/> <short value="Bibliographic citation for the artifact"/> <definition value="A bibliographic citation for the related artifact. This text SHOULD be formatted according to an accepted citation format."/> <comment value="Additional structured information about citations should be captured as extensions."/> <min value="0"/> <max value="1"/> <base> <path value="RelatedArtifact.citation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> </element> <element id="Measure.relatedArtifact.url"> <path value="Measure.relatedArtifact.url"/> <short value="Where the artifact can be accessed"/> <definition value="A url for the artifact that can be followed to access the actual content."/> <comment value="If a document or resource element is present, this element SHALL NOT be provided (use the url or reference in the Attachment or resource reference)."/> <min value="0"/> <max value="1"/> <base> <path value="RelatedArtifact.url"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <isSummary value="true"/> </element> <element id="Measure.relatedArtifact.document"> <path value="Measure.relatedArtifact.document"/> <short value="What document is being referenced"/> <definition value="The document being referenced, represented as an attachment. This is exclusive with the resource element."/> <min value="0"/> <max value="1"/> <base> <path value="RelatedArtifact.document"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Attachment"/> </type> <isSummary value="true"/> </element> <element id="Measure.relatedArtifact.resource"> <path value="Measure.relatedArtifact.resource"/> <short value="What resource is being referenced"/> <definition value="The related resource, such as a library, value set, profile, or other knowledge resource."/> <comment value="If the type is predecessor, this is a reference to the succeeding knowledge resource. If the type is successor, this is a reference to the prior knowledge resource."/> <min value="0"/> <max value="1"/> <base> <path value="RelatedArtifact.resource"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <isSummary value="true"/> </element> <element id="Measure.library"> <path value="Measure.library"/> <short value="Logic used by the measure"/> <definition value="A reference to a Library resource containing the formal logic used by the measure."/> <requirements value="A published measure must provide at least one library containing population criteria definitions for the measure."/> <min value="1"/> <max value="*"/> <base> <path value="Measure.library"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/library-cqfm"/> </type> <mustSupport value="true"/> </element> <element id="Measure.disclaimer"> <path value="Measure.disclaimer"/> <short value="Disclaimer for use of the measure or its referenced content"/> <definition value="Notices and disclaimers regarding the use of the measure, or related to intellectual property (such as code systems) referenced by the measure."/> <requirements value="A published measure should provide legal disclaimer relating to the use of the measure content."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.disclaimer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <mustSupport value="true"/> <isSummary value="true"/> </element> <element id="Measure.scoring"> <path value="Measure.scoring"/> <short value="proportion | ratio | continuous-variable | cohort"/> <definition value="Indicates how the calculation is performed for the measure, including proportion, ratio, continuous variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented."/> <requirements value="A published measure must indicate the scoring method used for the measure."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.scoring"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/> <code value="ratio"/> <display value="Ratio"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureScoring"/> </extension> <strength value="extensible"/> <description value="The scoring type of the measure"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-scoring"/> </valueSetReference> </binding> </element> <element id="Measure.compositeScoring"> <path value="Measure.compositeScoring"/> <short value="opportunity | all-or-nothing | linear | weighted"/> <definition value="If this is a composite measure, the scoring method used to combine the component measures to determine the composite score."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.compositeScoring"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositeMeasureScoring"/> </extension> <strength value="extensible"/> <description value="The composite scoring method of the measure"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/composite-measure-scoring"/> </valueSetReference> </binding> </element> <element id="Measure.type"> <path value="Measure.type"/> <short value="process | outcome | structure | patient-reported-outcome | composite"/> <definition value="Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization."/> <requirements value="A published measure must indicate the type of the measure."/> <min value="1"/> <max value="*"/> <base> <path value="Measure.type"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureType"/> </extension> <strength value="extensible"/> <description value="The type of measure (includes codes from 2.16.840.1.113883.1.11.20368)"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-type"/> </valueSetReference> </binding> <mapping> <identity value="workflow"/> <map value="Definition.subjectCode"/> </mapping> </element> <element id="Measure.riskAdjustment"> <path value="Measure.riskAdjustment"/> <short value="How is risk adjustment applied for this measure"/> <definition value="A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results."/> <comment value="Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.riskAdjustment"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> </element> <element id="Measure.rateAggregation"> <path value="Measure.rateAggregation"/> <short value="How is rate aggregation performed for this measure"/> <definition value="Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result."/> <comment value="The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level)."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.rateAggregation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> </element> <element id="Measure.rationale"> <path value="Measure.rationale"/> <short value="Why does this measure exist"/> <definition value="Provides a succint statement of the need for the measure. Usually includes statements pertaining to importance criterion: impact, gap in care, and evidence."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.rationale"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <isSummary value="true"/> </element> <element id="Measure.clinicalRecommendationStatement"> <path value="Measure.clinicalRecommendationStatement"/> <short value="Summary of clinical guidelines"/> <definition value="Provides a summary of relevant clinical guidelines or other clinical recommendations supporting the measure."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.clinicalRecommendationStatement"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <isSummary value="true"/> </element> <element id="Measure.improvementNotation"> <path value="Measure.improvementNotation"/> <short value="increase | decrease"/> <definition value="Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is whthin a range)."/> <requirements value="A published measure must indicate the improvement notation used for the measure."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.improvementNotation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mustSupport value="true"/> <isSummary value="true"/> <binding> <strength value="required"/> <description value="Improvement notation for a measure (e.g. increase or decrease)"/> <valueSetReference> <reference value="http://hl7.org/fhir/us/cqfmeasures/ValueSet/improvement-notation"/> </valueSetReference> </binding> </element> <element id="Measure.definition"> <path value="Measure.definition"/> <short value="Defined terms used in the measure documentation"/> <definition value="Provides a description of an individual term used within the measure."/> <requirements value="Measure developers must be able to provide precise definitions of terms used within measure descriptions and guidance to help communicate the intent of the measure."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.definition"/> <min value="0"/> <max value="*"/> </base> <type> <code value="markdown"/> </type> <mustSupport value="false"/> <isSummary value="true"/> </element> <element id="Measure.definition.id"> <path value="Measure.definition.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references)"/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.definition.extension"> <path value="Measure.definition.extension"/> <slicing id="2"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Measure.definition.extension:definitionTerm"> <path value="Measure.definition.extension"/> <sliceName value="definitionTerm"/> <short value="Term to define"/> <definition value="Specifies the term being defined in a definition element."/> <min value="1"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.definition.value"> <path value="Measure.definition.value"/> <representation value="xmlAttr"/> <short value="Primitive value for markdown"/> <definition value="Primitive value for markdown"/> <min value="0"/> <max value="1"/> <base> <path value="string.value"/> <min value="0"/> <max value="1"/> </base> <type> <code> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type"> <valueString value="string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type"> <valueString value="xsd:string"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type"> <valueString value="xsd:string"/> </extension> </code> </type> </element> <element id="Measure.guidance"> <path value="Measure.guidance"/> <short value="Additional guidance for implementers"/> <definition value="Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure."/> <requirements value="Measure developers must be able to provide additional guidance for implementers to understand the intent with greater specificity than that provided in the logic of the measure."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.guidance"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <isSummary value="true"/> </element> <element id="Measure.set"> <path value="Measure.set"/> <short value="The measure set, e.g. Preventive Care and Screening"/> <definition value="The measure set, e.g. Preventive Care and Screening."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.set"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <isSummary value="true"/> </element> <element id="Measure.group"> <path value="Measure.group"/> <short value="Population criteria group"/> <definition value="A group of population criteria for the measure."/> <requirements value="A published measure must specify at least one population group."/> <min value="1"/> <max value="*"/> <base> <path value="Measure.group"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> </element> <element id="Measure.group.id"> <path value="Measure.group.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.extension"> <path value="Measure.group.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.modifierExtension"> <path value="Measure.group.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.identifier"> <path value="Measure.group.identifier"/> <short value="Unique identifier"/> <definition value="A unique identifier for the group. This identifier will used to report data for the group in the measure report."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.identifier"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.group.name"> <path value="Measure.group.name"/> <short value="Short name"/> <definition value="Optional name or short description of this group."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.description"> <path value="Measure.group.description"/> <short value="Summary description"/> <definition value="The human readable description of this population group."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population"> <path value="Measure.group.population"/> <slicing> <discriminator> <type value="value"/> <path value="code"/> </discriminator> <rules value="open"/> </slicing> <short value="Population criteria"/> <definition value="A population criteria for the measure."/> <requirements value="A published measure must specify at least one population for each population group."/> <min value="3"/> <max value="6"/> <base> <path value="Measure.group.population"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> </element> <element id="Measure.group.population.id"> <path value="Measure.group.population.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.population.extension"> <path value="Measure.group.population.extension"/> <slicing id="3"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Measure.group.population.extension:criteriaReference"> <path value="Measure.group.population.extension"/> <sliceName value="criteriaReference"/> <short value="Which criteria"/> <definition value="Specifies which population criteria is the input to an observation definition, or the initial population for a ratio numerator or denominator."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population.extension:aggregateMethod"> <path value="Measure.group.population.extension"/> <sliceName value="aggregateMethod"/> <short value="Aggregate with"/> <definition value="Specifies which method to be used to aggregate the measure observation values."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population.modifierExtension"> <path value="Measure.group.population.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.population.identifier"> <path value="Measure.group.population.identifier"/> <short value="Unique identifier"/> <definition value="A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.group.population.code"> <path value="Measure.group.population.code"/> <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation"/> <definition value="The type of population criteria."/> <requirements value="A published measure must specify the type of population criteria."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <mustSupport value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasurePopulationType"/> </extension> <strength value="extensible"/> <description value="The type of population"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-population"/> </valueSetReference> </binding> </element> <element id="Measure.group.population.name"> <path value="Measure.group.population.name"/> <short value="Short name"/> <definition value="Optional name or short description of this population."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population.description"> <path value="Measure.group.population.description"/> <short value="The human readable description of this population criteria"/> <definition value="The human readable description of this population criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population.criteria"> <path value="Measure.group.population.criteria"/> <short value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria"/> <definition value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria."/> <comment value="In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.criteria"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:initialPopulation"> <path value="Measure.group.population"/> <sliceName value="initialPopulation"/> <short value="Initial Population"/> <definition value="A population criteria for the measure."/> <requirements value="A published measure must specify at least one population for each population group."/> <min value="1"/> <max value="2"/> <base> <path value="Measure.group.population"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> </element> <element id="Measure.group.population:initialPopulation.id"> <path value="Measure.group.population.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.population:initialPopulation.extension"> <path value="Measure.group.population.extension"/> <slicing id="3"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Measure.group.population:initialPopulation.extension:criteriaReference"> <path value="Measure.group.population.extension"/> <sliceName value="criteriaReference"/> <short value="Which criteria"/> <definition value="Specifies which population criteria is the input to an observation definition, or the initial population for a ratio numerator or denominator."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:initialPopulation.extension:aggregateMethod"> <path value="Measure.group.population.extension"/> <sliceName value="aggregateMethod"/> <short value="Aggregate with"/> <definition value="Specifies which method to be used to aggregate the measure observation values."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:initialPopulation.modifierExtension"> <path value="Measure.group.population.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.population:initialPopulation.identifier"> <path value="Measure.group.population.identifier"/> <short value="Unique identifier"/> <definition value="A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.group.population:initialPopulation.code"> <path value="Measure.group.population.code"/> <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation"/> <definition value="The type of population criteria."/> <requirements value="A published measure must specify the type of population criteria."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="initial-population"/> <display value="Initial Population"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasurePopulationType"/> </extension> <strength value="extensible"/> <description value="The type of population"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-population"/> </valueSetReference> </binding> </element> <element id="Measure.group.population:initialPopulation.name"> <path value="Measure.group.population.name"/> <short value="Short name"/> <definition value="Optional name or short description of this population."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:initialPopulation.description"> <path value="Measure.group.population.description"/> <short value="The human readable description of this population criteria"/> <definition value="The human readable description of this population criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:initialPopulation.criteria"> <path value="Measure.group.population.criteria"/> <short value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria"/> <definition value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria."/> <comment value="In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.criteria"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:denominator"> <path value="Measure.group.population"/> <sliceName value="denominator"/> <short value="Denominator"/> <definition value="A population criteria for the measure."/> <requirements value="A published measure must specify at least one population for each population group."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> </element> <element id="Measure.group.population:denominator.id"> <path value="Measure.group.population.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.population:denominator.extension"> <path value="Measure.group.population.extension"/> <slicing id="3"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Measure.group.population:denominator.extension:criteriaReference"> <path value="Measure.group.population.extension"/> <sliceName value="criteriaReference"/> <short value="Which criteria"/> <definition value="Specifies which population criteria is the input to an observation definition, or the initial population for a ratio numerator or denominator."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:denominator.extension:aggregateMethod"> <path value="Measure.group.population.extension"/> <sliceName value="aggregateMethod"/> <short value="Aggregate with"/> <definition value="Specifies which method to be used to aggregate the measure observation values."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:denominator.modifierExtension"> <path value="Measure.group.population.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.population:denominator.identifier"> <path value="Measure.group.population.identifier"/> <short value="Unique identifier"/> <definition value="A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.group.population:denominator.code"> <path value="Measure.group.population.code"/> <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation"/> <definition value="The type of population criteria."/> <requirements value="A published measure must specify the type of population criteria."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="denominator"/> <display value="Denominator"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasurePopulationType"/> </extension> <strength value="extensible"/> <description value="The type of population"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-population"/> </valueSetReference> </binding> </element> <element id="Measure.group.population:denominator.name"> <path value="Measure.group.population.name"/> <short value="Short name"/> <definition value="Optional name or short description of this population."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:denominator.description"> <path value="Measure.group.population.description"/> <short value="The human readable description of this population criteria"/> <definition value="The human readable description of this population criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:denominator.criteria"> <path value="Measure.group.population.criteria"/> <short value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria"/> <definition value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria."/> <comment value="In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.criteria"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:denominatorExclusion"> <path value="Measure.group.population"/> <sliceName value="denominatorExclusion"/> <short value="Denominator Exclusion"/> <definition value="A population criteria for the measure."/> <requirements value="A published measure must specify at least one population for each population group."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> </element> <element id="Measure.group.population:denominatorExclusion.id"> <path value="Measure.group.population.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.population:denominatorExclusion.extension"> <path value="Measure.group.population.extension"/> <slicing id="3"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Measure.group.population:denominatorExclusion.extension:criteriaReference"> <path value="Measure.group.population.extension"/> <sliceName value="criteriaReference"/> <short value="Which criteria"/> <definition value="Specifies which population criteria is the input to an observation definition, or the initial population for a ratio numerator or denominator."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:denominatorExclusion.extension:aggregateMethod"> <path value="Measure.group.population.extension"/> <sliceName value="aggregateMethod"/> <short value="Aggregate with"/> <definition value="Specifies which method to be used to aggregate the measure observation values."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:denominatorExclusion.modifierExtension"> <path value="Measure.group.population.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.population:denominatorExclusion.identifier"> <path value="Measure.group.population.identifier"/> <short value="Unique identifier"/> <definition value="A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.group.population:denominatorExclusion.code"> <path value="Measure.group.population.code"/> <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation"/> <definition value="The type of population criteria."/> <requirements value="A published measure must specify the type of population criteria."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="denominator-exclusion"/> <display value="Denominator Exclusion"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasurePopulationType"/> </extension> <strength value="extensible"/> <description value="The type of population"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-population"/> </valueSetReference> </binding> </element> <element id="Measure.group.population:denominatorExclusion.name"> <path value="Measure.group.population.name"/> <short value="Short name"/> <definition value="Optional name or short description of this population."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:denominatorExclusion.description"> <path value="Measure.group.population.description"/> <short value="The human readable description of this population criteria"/> <definition value="The human readable description of this population criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:denominatorExclusion.criteria"> <path value="Measure.group.population.criteria"/> <short value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria"/> <definition value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria."/> <comment value="In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.criteria"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:numerator"> <path value="Measure.group.population"/> <sliceName value="numerator"/> <short value="Numerator"/> <definition value="A population criteria for the measure."/> <requirements value="A published measure must specify at least one population for each population group."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> </element> <element id="Measure.group.population:numerator.id"> <path value="Measure.group.population.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.population:numerator.extension"> <path value="Measure.group.population.extension"/> <slicing id="3"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Measure.group.population:numerator.extension:criteriaReference"> <path value="Measure.group.population.extension"/> <sliceName value="criteriaReference"/> <short value="Which criteria"/> <definition value="Specifies which population criteria is the input to an observation definition, or the initial population for a ratio numerator or denominator."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:numerator.extension:aggregateMethod"> <path value="Measure.group.population.extension"/> <sliceName value="aggregateMethod"/> <short value="Aggregate with"/> <definition value="Specifies which method to be used to aggregate the measure observation values."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:numerator.modifierExtension"> <path value="Measure.group.population.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.population:numerator.identifier"> <path value="Measure.group.population.identifier"/> <short value="Unique identifier"/> <definition value="A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.group.population:numerator.code"> <path value="Measure.group.population.code"/> <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation"/> <definition value="The type of population criteria."/> <requirements value="A published measure must specify the type of population criteria."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="numerator"/> <display value="Numerator"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasurePopulationType"/> </extension> <strength value="extensible"/> <description value="The type of population"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-population"/> </valueSetReference> </binding> </element> <element id="Measure.group.population:numerator.name"> <path value="Measure.group.population.name"/> <short value="Short name"/> <definition value="Optional name or short description of this population."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:numerator.description"> <path value="Measure.group.population.description"/> <short value="The human readable description of this population criteria"/> <definition value="The human readable description of this population criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:numerator.criteria"> <path value="Measure.group.population.criteria"/> <short value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria"/> <definition value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria."/> <comment value="In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.criteria"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:numeratorExclusion"> <path value="Measure.group.population"/> <sliceName value="numeratorExclusion"/> <short value="Numerator Exclusion"/> <definition value="A population criteria for the measure."/> <requirements value="A published measure must specify at least one population for each population group."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="false"/> </element> <element id="Measure.group.population:numeratorExclusion.id"> <path value="Measure.group.population.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.population:numeratorExclusion.extension"> <path value="Measure.group.population.extension"/> <slicing id="3"> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> </element> <element id="Measure.group.population:numeratorExclusion.extension:criteriaReference"> <path value="Measure.group.population.extension"/> <sliceName value="criteriaReference"/> <short value="Which criteria"/> <definition value="Specifies which population criteria is the input to an observation definition, or the initial population for a ratio numerator or denominator."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:numeratorExclusion.extension:aggregateMethod"> <path value="Measure.group.population.extension"/> <sliceName value="aggregateMethod"/> <short value="Aggregate with"/> <definition value="Specifies which method to be used to aggregate the measure observation values."/> <min value="0"/> <max value="1"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod"/> </type> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:numeratorExclusion.modifierExtension"> <path value="Measure.group.population.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.population:numeratorExclusion.identifier"> <path value="Measure.group.population.identifier"/> <short value="Unique identifier"/> <definition value="A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.group.population:numeratorExclusion.code"> <path value="Measure.group.population.code"/> <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation"/> <definition value="The type of population criteria."/> <requirements value="A published measure must specify the type of population criteria."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="numerator-exclusion"/> <display value="Numerator Exclusion"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasurePopulationType"/> </extension> <strength value="extensible"/> <description value="The type of population"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-population"/> </valueSetReference> </binding> </element> <element id="Measure.group.population:numeratorExclusion.name"> <path value="Measure.group.population.name"/> <short value="Short name"/> <definition value="Optional name or short description of this population."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:numeratorExclusion.description"> <path value="Measure.group.population.description"/> <short value="The human readable description of this population criteria"/> <definition value="The human readable description of this population criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.population:numeratorExclusion.criteria"> <path value="Measure.group.population.criteria"/> <short value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria"/> <definition value="The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria."/> <comment value="In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.group.population.criteria"/> <min value="1"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.stratifier"> <path value="Measure.group.stratifier"/> <short value="Stratifier criteria for the measure"/> <definition value="The stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library, or a valid FHIR Resource Path."/> <requirements value="A published measure should provide stratification information if appropriate for the measure content."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.group.stratifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> </element> <element id="Measure.group.stratifier.id"> <path value="Measure.group.stratifier.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.stratifier.extension"> <path value="Measure.group.stratifier.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.stratifier.modifierExtension"> <path value="Measure.group.stratifier.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.stratifier.identifier"> <path value="Measure.group.stratifier.identifier"/> <short value="The identifier for the stratifier used to coordinate the reported data back to this stratifier"/> <definition value="The identifier for the stratifier used to coordinate the reported data back to this stratifier."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.group.stratifier.criteria"> <path value="Measure.group.stratifier.criteria"/> <short value="How the measure should be stratified"/> <definition value="The criteria for the stratifier. This must be the name of an expression defined within a referenced library."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.criteria"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.group.stratifier.path"> <path value="Measure.group.stratifier.path"/> <short value="Path to the stratifier"/> <definition value="The path to an element that defines the stratifier, specified as a valid FHIR resource path."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.path"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.supplementalData"> <path value="Measure.supplementalData"/> <short value="What other data should be reported with the measure"/> <definition value="The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path."/> <comment value="Note that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information."/> <requirements value="A published measure should provide supplemental data appropriate for the measure content."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.supplementalData"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() | (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="Element"/> </constraint> <mustSupport value="true"/> </element> <element id="Measure.supplementalData.id"> <path value="Measure.supplementalData.id"/> <representation value="xmlAttr"/> <short value="xml:id (or equivalent in JSON)"/> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.supplementalData.extension"> <path value="Measure.supplementalData.extension"/> <short value="Additional Content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.supplementalData.modifierExtension"> <path value="Measure.supplementalData.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <isModifier value="true"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.supplementalData.identifier"> <path value="Measure.supplementalData.identifier"/> <short value="Identifier, unique within the measure"/> <definition value="An identifier for the supplemental data."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.supplementalData.identifier"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Identifier"/> </type> </element> <element id="Measure.supplementalData.usage"> <path value="Measure.supplementalData.usage"/> <short value="supplemental-data | risk-adjustment-factor"/> <definition value="An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.supplementalData.usage"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureDataUsage"/> </extension> <strength value="extensible"/> <description value="The intended usage for supplemental data elements in the measure"/> <valueSetReference> <reference value="http://hl7.org/fhir/ValueSet/measure-data-usage"/> </valueSetReference> </binding> </element> <element id="Measure.supplementalData.criteria"> <path value="Measure.supplementalData.criteria"/> <short value="Expression describing additional data to be reported"/> <definition value="The criteria for the supplemental data. This must be the name of a valid expression defined within a referenced library, and defines the data to be returned for this element."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.supplementalData.criteria"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> <element id="Measure.supplementalData.path"> <path value="Measure.supplementalData.path"/> <short value="Path to the supplemental data element"/> <definition value="The supplemental data to be supplied as part of the measure response, specified as a valid FHIR Resource Path."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.supplementalData.path"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> </element> </snapshot> <differential> <element id="Measure"> <path value="Measure"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.scoring"> <path value="Measure.scoring"/> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/> <code value="ratio"/> <display value="Ratio"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group"> <path value="Measure.group"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population"> <path value="Measure.group.population"/> <slicing> <discriminator> <type value="value"/> <path value="code"/> </discriminator> <rules value="open"/> </slicing> <min value="3"/> <max value="6"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:initialPopulation"> <path value="Measure.group.population"/> <sliceName value="initialPopulation"/> <short value="Initial Population"/> <min value="1"/> <max value="2"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:initialPopulation.code"> <path value="Measure.group.population.code"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="initial-population"/> <display value="Initial Population"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:denominator"> <path value="Measure.group.population"/> <sliceName value="denominator"/> <short value="Denominator"/> <min value="1"/> <max value="1"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:denominator.code"> <path value="Measure.group.population.code"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="denominator"/> <display value="Denominator"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:denominatorExclusion"> <path value="Measure.group.population"/> <sliceName value="denominatorExclusion"/> <short value="Denominator Exclusion"/> <min value="0"/> <max value="1"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:denominatorExclusion.code"> <path value="Measure.group.population.code"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="denominator-exclusion"/> <display value="Denominator Exclusion"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:numerator"> <path value="Measure.group.population"/> <sliceName value="numerator"/> <short value="Numerator"/> <min value="1"/> <max value="1"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:numerator.code"> <path value="Measure.group.population.code"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="numerator"/> <display value="Numerator"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:numeratorExclusion"> <path value="Measure.group.population"/> <sliceName value="numeratorExclusion"/> <short value="Numerator Exclusion"/> <min value="0"/> <max value="1"/> <mustSupport value="false"/> <isModifier value="false"/> </element> <element id="Measure.group.population:numeratorExclusion.code"> <path value="Measure.group.population.code"/> <min value="1"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/measure-population"/> <code value="numerator-exclusion"/> <display value="Numerator Exclusion"/> </coding> </fixedCodeableConcept> <mustSupport value="false"/> <isModifier value="false"/> </element> </differential> </StructureDefinition>
© HL7.org (Clinical Quality Information WG). hl7.fhir.us.cqfmeasures#0.1.0 based on FHIR v3.0.1 generated 27/03/2019.
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