Quality Measure Implementation Guide (STU4)
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This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Extension: CQFM Improvement Notation

Official URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation Version: 4.0.0
Active as of 2019-02-13 Computable Name: CQFMImprovementNotation

Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).

Measure consumers and implementers must be able to determine how to interpret a measure score.

Context of Use

This extension may be used on the following element(s):

  • Element ID Measure.group

Usage info

Usage:

Formal Views of Extension Content

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

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1Extensionincrease | decrease
... url 1..1uri"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation"
... value[x] 0..1CodeableConceptValue of extension
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1Extensionincrease | decrease
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1uri"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation"

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1Extensionincrease | decrease
... url 1..1uri"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation"
... value[x] 0..1CodeableConceptValue of extension
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1Extensionincrease | decrease
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1uri"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Extension.value[x]requiredMeasureImprovementNotation

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()