Quality Measure STU2 for FHIR R4 Implementation Guide
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v1.1.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions 
The official URL for this profile is:
http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/ratio-measure-cqfm
The CQFM Ratio Measure Profile describes a ratio scoring measure
This profile builds on CQFMMeasure.
This profile was published on Wed Feb 13 00:00:00 UTC 2019 as a active by Health Level Seven, Inc. - CQI WG.
Description of Profiles, Differentials, and Snapshots.
Summary
Mandatory: 6 elements (2 nested mandatory elements)
Fixed Value: 6 elements
Slices
This structure defines the following Slices:
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Measure | 0..* | CQFMMeasure | ||
  scoring | 1..1 | CodeableConcept | Fixed Value: As shown | |
   coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Ratio | |
 group | 1..* | BackboneElement | ||
 population | 3..6 | (Slice Definition) | Slice: Unordered, Open by value:code | |
  population:initialPopulation | 1..2 | BackboneElement | Initial Population | |
  code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Initial Population | |
| population:denominator | 1..1 | BackboneElement | Denominator | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Denominator | |
| population:denominatorExclusion | 0..1 | BackboneElement | Denominator Exclusion | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Denominator Exclusion | |
| population:numerator | 1..1 | BackboneElement | Numerator | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Numerator | |
 population:numeratorExclusion | 0..1 | BackboneElement | Numerator Exclusion | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Numerator Exclusion | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure | I | 0..* | CQFMMeasure | A quality measure definition |
 id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| cqfm-artifactComment | SI | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment |
| cqfm-populationBasis | SI | 1..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required) |
| cqfm-allocation | I | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation |
 modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| url | SΣI | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) |
| identifier | SΣI | 1..* | Identifier | Additional identifier for the measure |
| version | SΣI | 1..1 | string | Business version of the measure |
| name | SΣI | 1..1 | string | Name for this measure (computer friendly) |
| title | SΣI | 1..1 | string | Name for this measure (human friendly) |
| subtitle | I | 0..1 | string | Subordinate title of the measure |
| status | ?!ΣI | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required) |
| experimental | ΣI | 0..1 | boolean | For testing purposes, not real usage |
 subject[x] | I | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible) | |
| subjectCodeableConcept | CodeableConcept | |||
 subjectReference | Reference(Group) | |||
| date | SΣI | 1..1 | dateTime | Date last changed |
| publisher | SΣI | 1..1 | string | Name of the publisher (organization or individual) |
| contact | SΣI | 1..* | ContactDetail | Contact details for the publisher |
| description | SΣI | 1..1 | markdown | Natural language description of the measure |
| useContext | SΣI | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | SΣI | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible) |
| purpose | SI | 0..1 | markdown | Why this measure is defined |
| usage | SI | 0..1 | string | Describes the clinical usage of the measure |
| copyright | SI | 0..1 | markdown | Use and/or publishing restrictions |
| approvalDate | SI | 1..1 | date | When the measure was approved by publisher |
| lastReviewDate | SI | 1..1 | date | When the measure was last reviewed |
| effectivePeriod | SΣI | 0..1 | Period | When the measure is expected to be used |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| cqfm-effectivePeriodAnchor | SI | 0..1 | dateTime | Date of first effective use URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor |
| cqfm-effectivePeriodDuration | SI | 0..1 | Duration | What reporting period is used URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration |
| start | ΣI | 0..1 | dateTime | Starting time with inclusive boundary |
| end | ΣI | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| topic | SI | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example) |
| author | I | 0..* | ContactDetail | Who authored the content |
| editor | I | 0..* | ContactDetail | Who edited the content |
| reviewer | I | 0..* | ContactDetail | Who reviewed the content |
| endorser | I | 0..* | ContactDetail | Who endorsed the content |
| relatedArtifact | SI | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| cqfm-isPrimaryCitation | I | 0..1 | boolean | Primary reference URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation |
| type | ΣI | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required) |
| label | ΣI | 0..1 | string | Short label |
| display | ΣI | 0..1 | string | Brief description of the related artifact |
| citation | ΣI | 0..1 | markdown | Bibliographic citation for the artifact |
| url | ΣI | 0..1 | url | Where the artifact can be accessed |
| document | ΣI | 0..1 | Attachment | What document is being referenced |
| resource | ΣI | 0..1 | canonical(Resource) | What resource is being referenced |
| library | SI | 1..1 | canonical(Library) | Logic used by the measure 1: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) |
| disclaimer | SΣI | 0..1 | markdown | Disclaimer for use of the measure or its referenced content |
| scoring | ΣI | 1..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Ratio | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| compositeScoring | ΣI | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible) |
| type | SΣI | 1..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |
| riskAdjustment | ΣI | 0..1 | string | How risk adjustment is applied for this measure |
| rateAggregation | ΣI | 0..1 | string | How is rate aggregation performed for this measure |
| rationale | ΣI | 0..1 | markdown | Detailed description of why the measure exists |
| clinicalRecommendationStatement | ΣI | 0..1 | markdown | Summary of clinical guidelines |
| improvementNotation | SΣI | 1..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| definition | ΣI | 0..* | markdown | Defined terms used in the measure documentation |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| cqfm-definitionTerm | I | 1..1 | (Complex) | Defined term URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm |
| value | 0..1 | string | Primitive value for markdown | |
| guidance | ΣI | 0..1 | markdown | Additional guidance for implementers |
| group | I | 1..* | BackboneElement | Population criteria group |
| id | SI | 0..1 | string | Unique id for inter-element referencing 2: Group identifiers SHOULD use the convention: "group-<group number>", where <group number> corresponds with the group naming convention for the criteria within the group |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 0..1 | CodeableConcept | Meaning of the group |
| description | I | 0..1 | string | Summary description |
| population | I | 3..6 | (Slice Definition) | Population criteria Slice: Unordered, Open by value:code |
| population:All Slices | Content/Rules for all slices | |||
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SI | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:initialPopulation | I | 1..2 | BackboneElement | Initial Population |
 id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
 id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Initial Population | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:denominator | I | 1..1 | BackboneElement | Denominator |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Denominator | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:denominatorExclusion | I | 0..1 | BackboneElement | Denominator Exclusion |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Denominator Exclusion | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:numerator | I | 1..1 | BackboneElement | Numerator |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Numerator | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:numeratorExclusion | I | 0..1 | BackboneElement | Numerator Exclusion |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Numerator Exclusion | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| stratifier | SI | 0..* | BackboneElement | Stratifier criteria for the measure |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 0..1 | CodeableConcept | Meaning of the stratifier |
| description | I | 0..1 | string | The human readable description of this stratifier |
| criteria | SI | 0..1 | Expression | How the measure should be stratified 4: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| component | I | 0..* | BackboneElement | Stratifier criteria component for the measure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 0..1 | CodeableConcept | Meaning of the stratifier component |
| description | I | 0..1 | string | The human readable description of this stratifier component |
| criteria | I | 1..1 | Expression | Component of how the measure should be stratified |
| supplementalData | SI | 0..* | BackboneElement | What other data should be reported with the measure 5: Supplemental data SHALL use either criteria or path |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 0..1 | CodeableConcept | Meaning of the supplemental data |
| usage | I | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible) |
| description | I | 0..1 | string | The human readable description of this supplemental data |
| criteria | I | 1..1 | Expression | Expression describing additional data to be reported |
| Documentation for this format | ||||
Summary
Mandatory: 6 elements (2 nested mandatory elements)
Fixed Value: 6 elements
Slices
This structure defines the following Slices:
Differential View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure | 0..* | CQFMMeasure | ||
| scoring | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Ratio | |
| group | 1..* | BackboneElement | ||
| population | 3..6 | (Slice Definition) | Slice: Unordered, Open by value:code | |
| population:initialPopulation | 1..2 | BackboneElement | Initial Population | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Initial Population | |
| population:denominator | 1..1 | BackboneElement | Denominator | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Denominator | |
| population:denominatorExclusion | 0..1 | BackboneElement | Denominator Exclusion | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Denominator Exclusion | |
| population:numerator | 1..1 | BackboneElement | Numerator | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Numerator | |
| population:numeratorExclusion | 0..1 | BackboneElement | Numerator Exclusion | |
| code | 1..1 | CodeableConcept | Fixed Value: As shown | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Numerator Exclusion | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure | I | 0..* | CQFMMeasure | A quality measure definition |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | ΣI | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
| language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| cqfm-artifactComment | SI | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment |
| cqfm-populationBasis | SI | 1..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required) |
| cqfm-allocation | I | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation |
| modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
| url | SΣI | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) |
| identifier | SΣI | 1..* | Identifier | Additional identifier for the measure |
| version | SΣI | 1..1 | string | Business version of the measure |
| name | SΣI | 1..1 | string | Name for this measure (computer friendly) |
| title | SΣI | 1..1 | string | Name for this measure (human friendly) |
| subtitle | I | 0..1 | string | Subordinate title of the measure |
| status | ?!ΣI | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required) |
| experimental | ΣI | 0..1 | boolean | For testing purposes, not real usage |
| subject[x] | I | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible) | |
| subjectCodeableConcept | CodeableConcept | |||
| subjectReference | Reference(Group) | |||
| date | SΣI | 1..1 | dateTime | Date last changed |
| publisher | SΣI | 1..1 | string | Name of the publisher (organization or individual) |
| contact | SΣI | 1..* | ContactDetail | Contact details for the publisher |
| description | SΣI | 1..1 | markdown | Natural language description of the measure |
| useContext | SΣI | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | SΣI | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible) |
| purpose | SI | 0..1 | markdown | Why this measure is defined |
| usage | SI | 0..1 | string | Describes the clinical usage of the measure |
| copyright | SI | 0..1 | markdown | Use and/or publishing restrictions |
| approvalDate | SI | 1..1 | date | When the measure was approved by publisher |
| lastReviewDate | SI | 1..1 | date | When the measure was last reviewed |
| effectivePeriod | SΣI | 0..1 | Period | When the measure is expected to be used |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| cqfm-effectivePeriodAnchor | SI | 0..1 | dateTime | Date of first effective use URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor |
| cqfm-effectivePeriodDuration | SI | 0..1 | Duration | What reporting period is used URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration |
| start | ΣI | 0..1 | dateTime | Starting time with inclusive boundary |
| end | ΣI | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| topic | SI | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example) |
| author | I | 0..* | ContactDetail | Who authored the content |
| editor | I | 0..* | ContactDetail | Who edited the content |
| reviewer | I | 0..* | ContactDetail | Who reviewed the content |
| endorser | I | 0..* | ContactDetail | Who endorsed the content |
| relatedArtifact | SI | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| cqfm-isPrimaryCitation | I | 0..1 | boolean | Primary reference URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation |
| type | ΣI | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required) |
| label | ΣI | 0..1 | string | Short label |
| display | ΣI | 0..1 | string | Brief description of the related artifact |
| citation | ΣI | 0..1 | markdown | Bibliographic citation for the artifact |
| url | ΣI | 0..1 | url | Where the artifact can be accessed |
| document | ΣI | 0..1 | Attachment | What document is being referenced |
| resource | ΣI | 0..1 | canonical(Resource) | What resource is being referenced |
| library | SI | 1..1 | canonical(Library) | Logic used by the measure 1: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) |
| disclaimer | SΣI | 0..1 | markdown | Disclaimer for use of the measure or its referenced content |
| scoring | ΣI | 1..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Ratio | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| compositeScoring | ΣI | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible) |
| type | SΣI | 1..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |
| riskAdjustment | ΣI | 0..1 | string | How risk adjustment is applied for this measure |
| rateAggregation | ΣI | 0..1 | string | How is rate aggregation performed for this measure |
| rationale | ΣI | 0..1 | markdown | Detailed description of why the measure exists |
| clinicalRecommendationStatement | ΣI | 0..1 | markdown | Summary of clinical guidelines |
| improvementNotation | SΣI | 1..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| definition | ΣI | 0..* | markdown | Defined terms used in the measure documentation |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | I | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| cqfm-definitionTerm | I | 1..1 | (Complex) | Defined term URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm |
| value | 0..1 | string | Primitive value for markdown | |
| guidance | ΣI | 0..1 | markdown | Additional guidance for implementers |
| group | I | 1..* | BackboneElement | Population criteria group |
| id | SI | 0..1 | string | Unique id for inter-element referencing 2: Group identifiers SHOULD use the convention: "group-<group number>", where <group number> corresponds with the group naming convention for the criteria within the group |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 0..1 | CodeableConcept | Meaning of the group |
| description | I | 0..1 | string | Summary description |
| population | I | 3..6 | (Slice Definition) | Population criteria Slice: Unordered, Open by value:code |
| population:All Slices | Content/Rules for all slices | |||
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | SI | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:initialPopulation | I | 1..2 | BackboneElement | Initial Population |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Initial Population | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:denominator | I | 1..1 | BackboneElement | Denominator |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Denominator | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:denominatorExclusion | I | 0..1 | BackboneElement | Denominator Exclusion |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Denominator Exclusion | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:numerator | I | 1..1 | BackboneElement | Numerator |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Numerator | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| population:numeratorExclusion | I | 0..1 | BackboneElement | Numerator Exclusion |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Numerator Exclusion | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| description | I | 0..1 | string | The human readable description of this population criteria |
| criteria | SI | 1..1 | Expression | The criteria that defines this population 3: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| stratifier | SI | 0..* | BackboneElement | Stratifier criteria for the measure |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 0..1 | CodeableConcept | Meaning of the stratifier |
| description | I | 0..1 | string | The human readable description of this stratifier |
| criteria | SI | 0..1 | Expression | How the measure should be stratified 4: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. |
| component | I | 0..* | BackboneElement | Stratifier criteria component for the measure |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 0..1 | CodeableConcept | Meaning of the stratifier component |
| description | I | 0..1 | string | The human readable description of this stratifier component |
| criteria | I | 1..1 | Expression | Component of how the measure should be stratified |
| supplementalData | SI | 0..* | BackboneElement | What other data should be reported with the measure 5: Supplemental data SHALL use either criteria or path |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| extension | I | 0..* | Extension | Additional content defined by implementations |
| modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | I | 0..1 | CodeableConcept | Meaning of the supplemental data |
| usage | I | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible) |
| description | I | 0..1 | string | The human readable description of this supplemental data |
| criteria | I | 1..1 | Expression | Expression describing additional data to be reported |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Measure.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Measure.status | required | PublicationStatus |
| Measure.subject[x] | extensible | SubjectType |
| Measure.jurisdiction | extensible | Jurisdiction ValueSet |
| Measure.topic | example | DefinitionTopic |
| Measure.relatedArtifact.type | required | RelatedArtifactType |
| Measure.scoring | extensible | Fixed Value: ratio("Ratio") |
| Measure.compositeScoring | extensible | CompositeMeasureScoring |
| Measure.type | extensible | MeasureType |
| Measure.improvementNotation | required | MeasureImprovementNotation |
| Measure.group.population.code | extensible | MeasurePopulationType |
| Measure.group.population:initialPopulation.code | extensible | Fixed Value: initial-population("Initial Population") |
| Measure.group.population:denominator.code | extensible | Fixed Value: denominator("Denominator") |
| Measure.group.population:denominatorExclusion.code | extensible | Fixed Value: denominator-exclusion("Denominator Exclusion") |
| Measure.group.population:numerator.code | extensible | Fixed Value: numerator("Numerator") |
| Measure.group.population:numeratorExclusion.code | extensible | Fixed Value: numerator-exclusion("Numerator Exclusion") |
| Measure.supplementalData.usage | extensible | MeasureDataUsage |
| Id | Path | Details | Requirements |
| dom-2 | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| mea-0 | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) | |
| ele-1 | Measure.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.url | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.title | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.subtitle | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.experimental | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.subject[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.date | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.publisher | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.contact | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.useContext | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.jurisdiction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.purpose | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.usage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.copyright | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.approvalDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.lastReviewDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.effectivePeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.effectivePeriod.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.effectivePeriod.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.effectivePeriod.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.effectivePeriod.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.effectivePeriod.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.effectivePeriod.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.effectivePeriod.start | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.effectivePeriod.end | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.topic | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.author | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.editor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.reviewer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.endorser | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.relatedArtifact | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.relatedArtifact.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.relatedArtifact.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.relatedArtifact.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.relatedArtifact.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.relatedArtifact.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.relatedArtifact.label | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.relatedArtifact.display | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.relatedArtifact.citation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.relatedArtifact.url | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.relatedArtifact.document | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.relatedArtifact.resource | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.library | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 1 | Measure.library | Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) : exists() | |
| ele-1 | Measure.disclaimer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.scoring | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.compositeScoring | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.riskAdjustment | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.rateAggregation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.rationale | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.clinicalRecommendationStatement | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.improvementNotation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.definition | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.definition.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.definition.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.definition.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.definition.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.guidance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 2 | Measure.group.id | Group identifiers SHOULD use the convention: "group-<group number>", where <group number> corresponds with the group naming convention for the criteria within the group : value.startsWith('group-') | |
| ele-1 | Measure.group.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 3 | Measure.group.population.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |
| ele-1 | Measure.group.population | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 3 | Measure.group.population.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |
| ele-1 | Measure.group.population | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 3 | Measure.group.population.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |
| ele-1 | Measure.group.population | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 3 | Measure.group.population.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |
| ele-1 | Measure.group.population | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 3 | Measure.group.population.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |
| ele-1 | Measure.group.population | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.population.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.population.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.population.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 3 | Measure.group.population.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |
| ele-1 | Measure.group.stratifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.stratifier.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.stratifier.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.stratifier.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.stratifier.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.stratifier.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.stratifier.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.stratifier.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 4 | Measure.group.stratifier.criteria | Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |
| ele-1 | Measure.group.stratifier.component | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.stratifier.component.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.stratifier.component.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.stratifier.component.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.group.stratifier.component.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.group.stratifier.component.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.stratifier.component.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.group.stratifier.component.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.supplementalData | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| 5 | Measure.supplementalData | Supplemental data SHALL use either criteria or path : criteria.exists() or path.exists() | |
| ele-1 | Measure.supplementalData.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.supplementalData.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.supplementalData.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | Measure.supplementalData.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | Measure.supplementalData.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.supplementalData.usage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.supplementalData.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | Measure.supplementalData.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
© HL7.org (Clinical Quality Information WG). hl7.fhir.us.cqfmeasures#1.1.0 based on FHIR v4.0.1 generated 24/12/2019.
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