Quality Measure STU2 for FHIR R4 Implementation Guide

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.0.0: STU 2) 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

D.4.1 StructureDefinition: publishable-measure-cqfm

Examples:

Simple Publishable Measure Example
Median ED Visit Duration (Continuous variable measure)
Cervical Cancer Screening Measure (Patient-based Proportion measure)
Breast Cancer Screening Measure (Patient-based Proportion measure)
Colorectal Cancer Screening Measure (Patient-based Proportion measure)
Appropriate use of Pharyngitis Testing (Encounter-based Proportion measure)
Risk Adjustment Measure
Terminology Example (cohort measure)
Venous Thromboembolism Prophylaxis (Encounter-based Proportion measure)

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is: 

http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm

The CQFM Publishable Measure profile defines the minimum expectations to enable appropriate content management, discovery, and utilization of published electronic Clinical Quality Measures (eCQMs)

This profile builds on CQFMMeasure.

This profile was published on Thu Jul 23 20:24:49 UTC 2020 as a active by Health Level Seven, Inc. - CQI WG.

Description of Profiles, Differentials, and Snapshots.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1CQFMMeasureA quality measure definition
... text S1..1NarrativeText summary of the resource, for human interpretation
... cqfm-allocation S0..1markdownAllocation guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
... identifier S1..*IdentifierAdditional identifier for the measure
... title S1..1stringName for this measure (human friendly)
... status 1..1codedraft | active | retired | unknown
Fixed Value: active
... date S1..1dateTimeDate last changed
... publisher 1..1stringName of the publisher (organization or individual)
... contact S1..*ContactDetailContact details for the publisher
... useContext S0..*(Slice Definition)The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram S1..1UsageContextThe context that the content is intended to support
..... code S1..1CodingType of context being specified
Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: program
..... value[x] S1..1CodeableConceptValue that defines the context
Binding: QualityPrograms (extensible)
... purpose S0..1markdownWhy this measure is defined
... usage S0..1stringDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... approvalDate S1..1dateWhen the measure was approved by publisher
... lastReviewDate S1..1dateWhen the measure was last reviewed
... effectivePeriod S0..1PeriodWhen the measure is expected to be used
.... cqfm-effectivePeriodAnchor S0..1dateTimeDate of first effective use
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
.... cqfm-effectivePeriodDuration S0..1DurationWhat reporting period is used
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
... topic S0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
... author S0..*ContactDetailWho authored the content
... editor S0..*ContactDetailWho edited the content
... reviewer S0..*ContactDetailWho reviewed the content
... endorser S0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc.
.... cqfm-isPrimaryCitation 0..1booleanPrimary reference
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation
.... cqfm-publicationStatus 0..1codePublication status of referenced artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus
Binding: PublicationStatus (required)
.... cqfm-publicationDate 0..1datePublication date of referenced artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate
... disclaimer S0..1markdownDisclaimer for use of the measure or its referenced content
... rationale 0..1markdownDetailed description of why the measure exists
... definition 0..*markdownDefined terms used in the measure documentation
.... cqfm-definitionTerm 1..1(Complex)Defined term
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I1..1CQFMMeasureA quality measure definition
... id Σ0..1stringLogical id of this artifact
... meta SΣI1..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId ΣI0..1idVersion specific identifier
.... lastUpdated ΣI0..1instantWhen the resource version last changed
.... source ΣI0..1uriIdentifies where the resource comes from
.... profile SΣI1..1canonical(StructureDefinition)Profiles this resource claims to conform to
.... security ΣI0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag ΣI0..*CodingTags applied to this resource
Binding: CommonTags (example)
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text SI1..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... cqfm-artifactComment SI0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
... cqfm-populationBasis SI1..1codeWhat type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required)
... cqfm-allocation SI0..1markdownAllocation guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
... cqfm-softwaresystem SI0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... url ΣI1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣI1..*IdentifierAdditional identifier for the measure
... version ΣI1..1stringBusiness version of the measure
... name ΣI1..1stringName for this measure (computer friendly)
... title SΣI1..1stringName for this measure (human friendly)
... subtitle I0..1stringSubordinate title of the measure
... status ?!ΣI1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required)
Fixed Value: active
... experimental ΣI1..1booleanFor testing purposes, not real usage
... subject[x] I0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible)
.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date SΣI1..1dateTimeDate last changed
... publisher ΣI1..1stringName of the publisher (organization or individual)
... contact SΣI1..*ContactDetailContact details for the publisher
... description ΣI1..1markdownNatural language description of the measure
... useContext SΣI0..*(Slice Definition)The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram SΣI1..1UsageContextThe context that the content is intended to support
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... code SΣI1..1CodingType of context being specified
Binding: UsageContextType (extensible)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: program
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... value[x] SΣI1..1CodeableConceptValue that defines the context
Binding: QualityPrograms (extensible)
... jurisdiction SΣI0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible)
... purpose SI0..1markdownWhy this measure is defined
... usage SI0..1stringDescribes the clinical usage of the measure
... copyright SI0..1markdownUse and/or publishing restrictions
... approvalDate SI1..1dateWhen the measure was approved by publisher
... lastReviewDate SI1..1dateWhen the measure was last reviewed
... effectivePeriod SΣI0..1PeriodWhen the measure is expected to be used
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... cqfm-effectivePeriodAnchor SI0..1dateTimeDate of first effective use
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
.... cqfm-effectivePeriodDuration SI0..1DurationWhat reporting period is used
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
.... start ΣI0..1dateTimeStarting time with inclusive boundary
.... end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... topic SI0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example)
... author SI0..*ContactDetailWho authored the content
... editor SI0..*ContactDetailWho edited the content
... reviewer SI0..*ContactDetailWho reviewed the content
... endorser SI0..*ContactDetailWho endorsed the content
... relatedArtifact SI0..*RelatedArtifactAdditional documentation, citations, etc.
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... cqfm-isPrimaryCitation I0..1booleanPrimary reference
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation
.... cqfm-publicationStatus I0..1codePublication status of referenced artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus
Binding: PublicationStatus (required)
.... cqfm-publicationDate I0..1datePublication date of referenced artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate
.... type ΣI1..1codedocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required)
.... label ΣI0..1stringShort label
.... display ΣI0..1stringBrief description of the related artifact
.... citation ΣI0..1markdownBibliographic citation for the artifact
.... url ΣI0..1urlWhere the artifact can be accessed
.... document ΣI0..1AttachmentWhat document is being referenced
.... resource ΣI0..1canonical(Resource)What resource is being referenced
... library SI1..1canonical(Library)Logic used by the measure
cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
... disclaimer SΣI0..1markdownDisclaimer for use of the measure or its referenced content
... scoring SΣI1..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible)
... compositeScoring ΣI0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible)
... type SΣI1..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible)
... riskAdjustment ΣI0..1stringHow risk adjustment is applied for this measure
... rateAggregation ΣI0..1stringHow is rate aggregation performed for this measure
... rationale ΣI0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement ΣI0..1markdownSummary of clinical guidelines
... improvementNotation SΣI1..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required)
... definition ΣI0..*markdownDefined terms used in the measure documentation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... cqfm-definitionTerm I1..1(Complex)Defined term
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm
.... value 0..1stringPrimitive value for markdown
... guidance ΣI0..1markdownAdditional guidance for implementers
... group SI1..*BackboneElementPopulation criteria group
.... id SI0..1stringUnique id for inter-element referencing
cqm-3: 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 I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code I0..1CodeableConceptMeaning of the group
.... description I0..1stringSummary description
.... population SI1..*BackboneElementPopulation criteria
..... id S1..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SI1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
..... description I0..1stringThe human readable description of this population criteria
..... criteria SI1..1ExpressionThe criteria that defines this population
cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
.... stratifier SI0..*BackboneElementStratifier criteria for the measure
..... id S1..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code I0..1CodeableConceptMeaning of the stratifier
..... description I0..1stringThe human readable description of this stratifier
..... criteria SI0..1ExpressionHow the measure should be stratified
cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
..... component I0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code I0..1CodeableConceptMeaning of the stratifier component
...... description I0..1stringThe human readable description of this stratifier component
...... criteria I1..1ExpressionComponent of how the measure should be stratified
... supplementalData SI0..*BackboneElementWhat other data should be reported with the measure
cqm-6: Supplemental data SHALL use either criteria or path
.... id S1..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code I0..1CodeableConceptMeaning of the supplemental data
.... usage I0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible)
.... description I0..1stringThe human readable description of this supplemental data
.... criteria I1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1CQFMMeasureA quality measure definition
... text S1..1NarrativeText summary of the resource, for human interpretation
... cqfm-allocation S0..1markdownAllocation guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
... identifier S1..*IdentifierAdditional identifier for the measure
... title S1..1stringName for this measure (human friendly)
... status 1..1codedraft | active | retired | unknown
Fixed Value: active
... date S1..1dateTimeDate last changed
... publisher 1..1stringName of the publisher (organization or individual)
... contact S1..*ContactDetailContact details for the publisher
... useContext S0..*(Slice Definition)The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram S1..1UsageContextThe context that the content is intended to support
..... code S1..1CodingType of context being specified
Required Pattern: At least the following
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: program
..... value[x] S1..1CodeableConceptValue that defines the context
Binding: QualityPrograms (extensible)
... purpose S0..1markdownWhy this measure is defined
... usage S0..1stringDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... approvalDate S1..1dateWhen the measure was approved by publisher
... lastReviewDate S1..1dateWhen the measure was last reviewed
... effectivePeriod S0..1PeriodWhen the measure is expected to be used
.... cqfm-effectivePeriodAnchor S0..1dateTimeDate of first effective use
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
.... cqfm-effectivePeriodDuration S0..1DurationWhat reporting period is used
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
... topic S0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
... author S0..*ContactDetailWho authored the content
... editor S0..*ContactDetailWho edited the content
... reviewer S0..*ContactDetailWho reviewed the content
... endorser S0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc.
.... cqfm-isPrimaryCitation 0..1booleanPrimary reference
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation
.... cqfm-publicationStatus 0..1codePublication status of referenced artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus
Binding: PublicationStatus (required)
.... cqfm-publicationDate 0..1datePublication date of referenced artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate
... disclaimer S0..1markdownDisclaimer for use of the measure or its referenced content
... rationale 0..1markdownDetailed description of why the measure exists
... definition 0..*markdownDefined terms used in the measure documentation
.... cqfm-definitionTerm 1..1(Complex)Defined term
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I1..1CQFMMeasureA quality measure definition
... id Σ0..1stringLogical id of this artifact
... meta SΣI1..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId ΣI0..1idVersion specific identifier
.... lastUpdated ΣI0..1instantWhen the resource version last changed
.... source ΣI0..1uriIdentifies where the resource comes from
.... profile SΣI1..1canonical(StructureDefinition)Profiles this resource claims to conform to
.... security ΣI0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag ΣI0..*CodingTags applied to this resource
Binding: CommonTags (example)
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text SI1..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... cqfm-artifactComment SI0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
... cqfm-populationBasis SI1..1codeWhat type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required)
... cqfm-allocation SI0..1markdownAllocation guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
... cqfm-softwaresystem SI0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... url ΣI1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣI1..*IdentifierAdditional identifier for the measure
... version ΣI1..1stringBusiness version of the measure
... name ΣI1..1stringName for this measure (computer friendly)
... title SΣI1..1stringName for this measure (human friendly)
... subtitle I0..1stringSubordinate title of the measure
... status ?!ΣI1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required)
Fixed Value: active
... experimental ΣI1..1booleanFor testing purposes, not real usage
... subject[x] I0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible)
.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date SΣI1..1dateTimeDate last changed
... publisher ΣI1..1stringName of the publisher (organization or individual)
... contact SΣI1..*ContactDetailContact details for the publisher
... description ΣI1..1markdownNatural language description of the measure
... useContext SΣI0..*(Slice Definition)The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram SΣI1..1UsageContextThe context that the content is intended to support
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... code SΣI1..1CodingType of context being specified
Binding: UsageContextType (extensible)
Required Pattern: At least the following
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: program
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... value[x] SΣI1..1CodeableConceptValue that defines the context
Binding: QualityPrograms (extensible)
... jurisdiction SΣI0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible)
... purpose SI0..1markdownWhy this measure is defined
... usage SI0..1stringDescribes the clinical usage of the measure
... copyright SI0..1markdownUse and/or publishing restrictions
... approvalDate SI1..1dateWhen the measure was approved by publisher
... lastReviewDate SI1..1dateWhen the measure was last reviewed
... effectivePeriod SΣI0..1PeriodWhen the measure is expected to be used
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... cqfm-effectivePeriodAnchor SI0..1dateTimeDate of first effective use
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
.... cqfm-effectivePeriodDuration SI0..1DurationWhat reporting period is used
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
.... start ΣI0..1dateTimeStarting time with inclusive boundary
.... end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
... topic SI0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example)
... author SI0..*ContactDetailWho authored the content
... editor SI0..*ContactDetailWho edited the content
... reviewer SI0..*ContactDetailWho reviewed the content
... endorser SI0..*ContactDetailWho endorsed the content
... relatedArtifact SI0..*RelatedArtifactAdditional documentation, citations, etc.
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... cqfm-isPrimaryCitation I0..1booleanPrimary reference
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation
.... cqfm-publicationStatus I0..1codePublication status of referenced artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus
Binding: PublicationStatus (required)
.... cqfm-publicationDate I0..1datePublication date of referenced artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate
.... type ΣI1..1codedocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required)
.... label ΣI0..1stringShort label
.... display ΣI0..1stringBrief description of the related artifact
.... citation ΣI0..1markdownBibliographic citation for the artifact
.... url ΣI0..1urlWhere the artifact can be accessed
.... document ΣI0..1AttachmentWhat document is being referenced
.... resource ΣI0..1canonical(Resource)What resource is being referenced
... library SI1..1canonical(Library)Logic used by the measure
cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
... disclaimer SΣI0..1markdownDisclaimer for use of the measure or its referenced content
... scoring SΣI1..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible)
... compositeScoring ΣI0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible)
... type SΣI1..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible)
... riskAdjustment ΣI0..1stringHow risk adjustment is applied for this measure
... rateAggregation ΣI0..1stringHow is rate aggregation performed for this measure
... rationale ΣI0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement ΣI0..1markdownSummary of clinical guidelines
... improvementNotation SΣI1..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required)
... definition ΣI0..*markdownDefined terms used in the measure documentation
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
.... cqfm-definitionTerm I1..1(Complex)Defined term
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm
.... value 0..1stringPrimitive value for markdown
... guidance ΣI0..1markdownAdditional guidance for implementers
... group SI1..*BackboneElementPopulation criteria group
.... id SI0..1stringUnique id for inter-element referencing
cqm-3: 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 I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code I0..1CodeableConceptMeaning of the group
.... description I0..1stringSummary description
.... population SI1..*BackboneElementPopulation criteria
..... id S1..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code SI1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible)
..... description I0..1stringThe human readable description of this population criteria
..... criteria SI1..1ExpressionThe criteria that defines this population
cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
.... stratifier SI0..*BackboneElementStratifier criteria for the measure
..... id S1..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code I0..1CodeableConceptMeaning of the stratifier
..... description I0..1stringThe human readable description of this stratifier
..... criteria SI0..1ExpressionHow the measure should be stratified
cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
..... component I0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code I0..1CodeableConceptMeaning of the stratifier component
...... description I0..1stringThe human readable description of this stratifier component
...... criteria I1..1ExpressionComponent of how the measure should be stratified
... supplementalData SI0..*BackboneElementWhat other data should be reported with the measure
cqm-6: Supplemental data SHALL use either criteria or path
.... id S1..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code I0..1CodeableConceptMeaning of the supplemental data
.... usage I0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible)
.... description I0..1stringThe human readable description of this supplemental data
.... criteria I1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathConformanceValueSet / Code
Measure.meta.securityextensibleAll Security Labels
Measure.meta.tagexampleCommonTags
Measure.languagepreferredCommonLanguages
Max Binding: AllLanguages
Measure.statusrequiredFixed Value: active
Measure.subject[x]extensibleSubjectType
Measure.useContext:qualityProgram.codeextensiblePattern: program
Measure.useContext:qualityProgram.value[x]extensibleQualityPrograms
Measure.jurisdictionextensibleJurisdiction ValueSet
Measure.topicexampleDefinitionTopic
Measure.relatedArtifact.typerequiredRelatedArtifactType
Measure.scoringextensibleMeasureScoring
Measure.compositeScoringextensibleCompositeMeasureScoring
Measure.typeextensibleMeasureType
Measure.improvementNotationrequiredMeasureImprovementNotation
Measure.group.population.codeextensibleMeasurePopulationType
Measure.supplementalData.usageextensibleMeasureDataUsage

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2MeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3MeasureIf 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-4MeasureIf 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-5MeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6MeasureA resource should have narrative for robust management
: text.`div`.exists()
mea-0MeasureName 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-1MeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())
ele-1Measure.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.meta.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.meta.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.meta.versionIdAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.meta.lastUpdatedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.meta.sourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.meta.profileAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.meta.securityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.meta.tagAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.extension:commentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.extension:commentMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.extension:populationBasisAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.extension:populationBasisMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.extension:allocationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.extension:allocationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.extension:softwaresystemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.extension:softwaresystemMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.subtitleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.experimentalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.subject[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.publisherAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.useContextAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.useContext:qualityProgramAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.useContext:qualityProgram.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.useContext:qualityProgram.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.useContext:qualityProgram.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.useContext:qualityProgram.value[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.jurisdictionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.purposeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.usageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.copyrightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.approvalDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.lastReviewDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.effectivePeriodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.effectivePeriod.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.effectivePeriod.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.effectivePeriod.extension:anchorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.effectivePeriod.extension:anchorMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.effectivePeriod.extension:durationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.effectivePeriod.extension:durationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.effectivePeriod.startAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.effectivePeriod.endAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.topicAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.editorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.reviewerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.endorserAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.relatedArtifact.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.relatedArtifact.extension:isPrimaryCitationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.relatedArtifact.extension:isPrimaryCitationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.relatedArtifact.extension:publicationStatusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.relatedArtifact.extension:publicationStatusMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.relatedArtifact.extension:publicationDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.relatedArtifact.extension:publicationDateMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.relatedArtifact.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.labelAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.citationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.documentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.resourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.libraryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cqm-2Measure.libraryMeasures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
: exists()
ele-1Measure.disclaimerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.scoringAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.compositeScoringAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.riskAdjustmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.rateAggregationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.rationaleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.clinicalRecommendationStatementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.improvementNotationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.definitionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.definition.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.definition.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.definition.extension:definitionTermAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.definition.extension:definitionTermMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.guidanceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.groupAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cqm-3Measure.group.idGroup 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-1Measure.group.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.populationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.population.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.population.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.population.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.population.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.population.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.population.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.population.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cqm-4Measure.group.population.criteriaGroup 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-1Measure.group.stratifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.stratifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.stratifier.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.stratifier.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.stratifier.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cqm-5Measure.group.stratifier.criteriaGroup 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-1Measure.group.stratifier.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.component.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.stratifier.component.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.stratifier.component.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.stratifier.component.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.stratifier.component.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.component.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.component.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalDataAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
cqm-6Measure.supplementalDataSupplemental data SHALL use either criteria or path
: criteria.exists() or path.exists()
ele-1Measure.supplementalData.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.supplementalData.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.supplementalData.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.supplementalData.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.supplementalData.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalData.usageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalData.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalData.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())