| Left: | CQFM Composite Measure (http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/composite-measure-cqfm) | 
| Right: | CQFM Composite Measure (http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/composite-measure-cqfm) | 
| Information | StructureDefinition.date | Values for date differ: '2024-04-09T13:20:21+00:00' vs '2024-11-04T20:11:26+00:00' | 
| Information | Measure.library | Element maximum cardinalities differ: '2147483647' vs '1' | 
| Information | StructureDefinition.short | Values for short differ: 'proportion | ratio | continuous-variable | cohort' vs 'composite' | 
| Warning | Measure.group.code | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.group.description | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.group.population.code | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.group.population.description | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.group.stratifier.code | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.group.stratifier.description | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.group.stratifier.component.code | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.group.stratifier.component.description | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.supplementalData.code | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.supplementalData.usage | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Warning | Measure.supplementalData.description | Elements differ in definition for mustSupport: 'false' vs 'true' | 
| Name | Value | Comments | |
|---|---|---|---|
|  abstract | false | ||
|  baseDefinition | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm | ||
|  copyright | |||
|  date | 2024-04-09T13:20:21+00:00 | 2024-11-04T20:11:26+00:00 | 
 | 
|  description | The CQFM Composite Measure Profile describes minimum expectations for a composite electronic Clinical Quality Measure (eCQM) | The CQFM Composite Measure Profile describes minimum expectations for a composite electronic Quality Measure (QM). For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide. | 
 | 
|  experimental | false | ||
|  fhirVersion | 4.0.1 | ||
|  jurisdiction | |||
|   jurisdiction[0] | urn:iso:std:iso:3166#US | ||
|  kind | resource | ||
|  name | CQFMCompositeMeasure | ||
|  publisher | HL7 International / Clinical Quality Information | ||
|  purpose | |||
|  status | active | ||
|  title | CQFM Composite Measure | ||
|  type | Measure | ||
|  url | http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/composite-measure-cqfm | ||
|  version | 4.0.0 | ||
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|   Measure | SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group | SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group | |||||||||
|    id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
|    meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
|    implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
|    language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. 
 | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. 
 | |||||||||||
|    text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
|    contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
|    Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
|    url | Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | |||||||||
|    identifier | Σ | 0..* | Identifier | Additional identifier for the measure | Σ | 0..* | Identifier | Additional identifier for the measure | |||||||||
|    version | Σ | 0..1 | string | Business version of the measure | Σ | 0..1 | string | Business version of the measure | |||||||||
|    name | ΣC | 0..1 | string | Name for this measure (computer friendly) | ΣC | 0..1 | string | Name for this measure (computer friendly) | |||||||||
|    title | Σ | 0..1 | string | Name for this measure (human friendly) | Σ | 0..1 | string | Name for this measure (human friendly) | |||||||||
|    subtitle | 0..1 | string | Subordinate title of the measure | 0..1 | string | Subordinate title of the measure | |||||||||||
|    status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | |||||||||
|    experimental | Σ | 0..1 | boolean | For testing purposes, not real usage | Σ | 0..1 | boolean | For testing purposes, not real usage | |||||||||
|    subject[x] | S | 0..1 | CodeableConcept, Reference(Group) | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: ?? (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | S | 0..1 | CodeableConcept, Reference(Group) | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: ?? (extensible) | |||||||||
|    date | Σ | 0..1 | dateTime | Date last changed | Σ | 0..1 | dateTime | Date last changed | |||||||||
|    publisher | Σ | 0..1 | string | Name of the publisher (organization or individual) | Σ | 0..1 | string | Name of the publisher (organization or individual) | |||||||||
|    contact | Σ | 0..* | ContactDetail | Contact details for the publisher | Σ | 0..* | ContactDetail | Contact details for the publisher | |||||||||
|    description | Σ | 0..1 | markdown | Natural language description of the measure | Σ | 0..1 | markdown | Natural language description of the measure | |||||||||
|    useContext | Σ | 0..* | UsageContext | The context that the content is intended to support | Σ | 0..* | UsageContext | The context that the content is intended to support | |||||||||
|    jurisdiction | Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: ?? (extensible): Countries and regions within which this artifact is targeted for use. | Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: ?? (extensible): Countries and regions within which this artifact is targeted for use. | |||||||||
|    purpose | 0..1 | markdown | Why this measure is defined | 0..1 | markdown | Why this measure is defined | |||||||||||
|    usage | 0..1 | string | Describes the clinical usage of the measure | 0..1 | string | Describes the clinical usage of the measure | |||||||||||
|    copyright | 0..1 | markdown | Use and/or publishing restrictions | 0..1 | markdown | Use and/or publishing restrictions | |||||||||||
|    approvalDate | 0..1 | date | When the measure was approved by publisher | 0..1 | date | When the measure was approved by publisher | |||||||||||
|    lastReviewDate | 0..1 | date | When the measure was last reviewed | 0..1 | date | When the measure was last reviewed | |||||||||||
|    effectivePeriod | Σ | 0..1 | Period | When the measure is expected to be used | Σ | 0..1 | Period | When the measure is expected to be used | |||||||||
|    topic | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: ?? (example): High-level categorization of the definition, used for searching, sorting, and filtering. | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: ?? (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||||||||
|    author | 0..* | ContactDetail | Who authored the content | 0..* | ContactDetail | Who authored the content | |||||||||||
|    editor | 0..* | ContactDetail | Who edited the content | 0..* | ContactDetail | Who edited the content | |||||||||||
|    reviewer | 0..* | ContactDetail | Who reviewed the content | 0..* | ContactDetail | Who reviewed the content | |||||||||||
|    endorser | 0..* | ContactDetail | Who endorsed the content | 0..* | ContactDetail | Who endorsed the content | |||||||||||
|    Slices for relatedArtifact | S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type | S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type | |||||||||
|    library | S | 0..* | canonical(CRMI Computable Library) | Logic used by the measure | S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure | 
 | ||||||||
|    disclaimer | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | |||||||||
|    scoring | SΣC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: ?? (extensible) Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/measure-scoring","code":"composite"}]} | SΣC | 0..1 | CodeableConcept | composite Binding: ?? (extensible) Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/measure-scoring","code":"composite"}]} | |||||||||
|    compositeScoring | SΣ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: ?? (extensible) | SΣ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: ?? (extensible) | |||||||||
|    type | SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: ?? (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). | SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: ?? (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). | |||||||||
|    riskAdjustment | ΣC | 0..1 | string | How risk adjustment is applied for this measure | ΣC | 0..1 | string | How risk adjustment is applied for this measure | |||||||||
|    rateAggregation | ΣC | 0..1 | string | How is rate aggregation performed for this measure | ΣC | 0..1 | string | How is rate aggregation performed for this measure | |||||||||
|    rationale | Σ | 0..1 | markdown | Detailed description of why the measure exists | Σ | 0..1 | markdown | Detailed description of why the measure exists | |||||||||
|    clinicalRecommendationStatement | Σ | 0..1 | markdown | Summary of clinical guidelines | Σ | 0..1 | markdown | Summary of clinical guidelines | |||||||||
|    improvementNotation | SΣC | 0..1 | CodeableConcept | increase | decrease Binding: ?? (required) | SΣC | 0..1 | CodeableConcept | increase | decrease Binding: ?? (required) | |||||||||
|    definition | Σ | 0..* | markdown | Defined terms used in the measure documentation | Σ | 0..* | markdown | Defined terms used in the measure documentation | |||||||||
|    guidance | Σ | 0..1 | markdown | Additional guidance for implementers | Σ | 0..1 | markdown | Additional guidance for implementers | |||||||||
|    group | SC | 0..* | BackboneElement | Population criteria group cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-10: Composite measures may not specify population criteria cmp-11: Composite measures must specify composite scoring and at least one component | SC | 0..* | BackboneElement | Population criteria group cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-10: Composite measures may not specify population criteria cmp-11: Composite measures must specify composite scoring and at least one component | |||||||||
|     id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
|     Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
|     code | 0..1 | CodeableConcept | Meaning of the group | S | 0..1 | CodeableConcept | Meaning of the group | 
 | |||||||||
|     description | 0..1 | string | Summary description | S | 0..1 | string | Summary description | 
 | |||||||||
|     population | SC | 0..* | BackboneElement | Population criteria cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria | SC | 0..* | BackboneElement | Population criteria | |||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
|      extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
|      code | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population. | S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population. | 
 | |||||||||
|      description | 0..1 | string | The human readable description of this population criteria | S | 0..1 | string | The human readable description of this population criteria | 
 | |||||||||
|      criteria | 1..1 | Expression | The criteria that defines this population | 1..1 | Expression | The criteria that defines this population | |||||||||||
|     stratifier | SC | 0..* | BackboneElement | Stratifier criteria for the measure cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria | S | 0..* | BackboneElement | Stratifier criteria for the measure | |||||||||
|      id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
|      Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
|      modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
|      code | 0..1 | CodeableConcept | Meaning of the stratifier | S | 0..1 | CodeableConcept | Meaning of the stratifier | 
 | |||||||||
|      description | 0..1 | string | The human readable description of this stratifier | S | 0..1 | string | The human readable description of this stratifier | 
 | |||||||||
|      criteria | 0..1 | Expression | How the measure should be stratified | 0..1 | Expression | How the measure should be stratified | |||||||||||
|      component | SC | 0..* | BackboneElement | Stratifier criteria component for the measure cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria | S | 0..* | BackboneElement | Stratifier criteria component for the measure | |||||||||
|       id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
|       extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
|       modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
|       code | 0..1 | CodeableConcept | Meaning of the stratifier component | S | 0..1 | CodeableConcept | Meaning of the stratifier component | 
 | |||||||||
|       description | 0..1 | string | The human readable description of this stratifier component | S | 0..1 | string | The human readable description of this stratifier component | 
 | |||||||||
|       criteria | 1..1 | Expression | Component of how the measure should be stratified | 1..1 | Expression | Component of how the measure should be stratified | |||||||||||
|    supplementalData | SC | 0..* | BackboneElement | What other data should be reported with the measure cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria | S | 0..* | BackboneElement | What other data should be reported with the measure | |||||||||
|     id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
|     extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
|     code | 0..1 | CodeableConcept | Meaning of the supplemental data | S | 0..1 | CodeableConcept | Meaning of the supplemental data | 
 | |||||||||
|     usage | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: ?? (extensible): The intended usage for supplemental data elements in the measure. | S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: ?? (extensible): The intended usage for supplemental data elements in the measure. | 
 | |||||||||
|     description | 0..1 | string | The human readable description of this supplemental data | S | 0..1 | string | The human readable description of this supplemental data | 
 | |||||||||
|     criteria | 1..1 | Expression | Expression describing additional data to be reported | 1..1 | Expression | Expression describing additional data to be reported | |||||||||||
|  Documentation for this format | |||||||||||||||||