Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
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. For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/library-cqfm | Version: 4.0.0 | |||
| Active as of 2019-02-13 | Computable Name: CQFMLibrary | |||
The CQFM Library profile defines the minimum expectations for a library used to distribute eCQM logic
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Shareable Library
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Library | 1..1 | Shareable Library | Represents a library of quality improvement components | |
  meta | 1..1 | Meta | Metadata about the resource | |
  profile | S | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
  comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment |
| type | S | 1..1 | CodeableConcept | logic-library | model-definition | asset-collection | module-definition |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Library | C | 1..1 | Shareable Library | Represents a library of quality improvement components |
 meta | Σ | 1..1 | Meta | Metadata about the resource |
 profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| url | Σ | 1..1 | uri | Canonical identifier for this library, represented as a URI (globally unique) |
| identifier | SΣ | 0..* | Identifier | Additional identifier for the library |
| version | Σ | 1..1 | string | Business version of the library |
| name | ΣC | 1..1 | string | Name for this library (computer friendly) |
| title | SΣ | 0..1 | string | Name for this library (human friendly) |
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage |
| type | SΣ | 1..1 | CodeableConcept | logic-library | model-definition | asset-collection | module-definition Binding: LibraryType (extensible): The type of knowledge asset this library contains. |
| date | SΣ | 0..1 | dateTime | Date last changed |
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) |
| contact | SΣ | 0..* | ContactDetail | Contact details for the publisher |
| description | Σ | 1..1 | markdown | Natural language description of the library |
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for library (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Library.status | required | PublicationStatus |
| Library.type | extensible | LibraryType |
| Library.jurisdiction | extensible | Jurisdiction ValueSet |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Library | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Library | 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 | error | Library | 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 | error | Library | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Library | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lib-0 | warning | Library | 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}') |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Library | C | 1..1 | Shareable Library | Represents a library of quality improvement components | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 1..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
 extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed | ||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url | Σ | 1..1 | uri | Canonical identifier for this library, represented as a URI (globally unique) | ||||
| identifier | SΣ | 0..* | Identifier | Additional identifier for the library | ||||
| version | Σ | 1..1 | string | Business version of the library | ||||
| name | ΣC | 1..1 | string | Name for this library (computer friendly) | ||||
| title | SΣ | 0..1 | string | Name for this library (human friendly) | ||||
| subtitle | 0..1 | string | Subordinate title of the library | |||||
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage | ||||
| type | SΣ | 1..1 | CodeableConcept | logic-library | model-definition | asset-collection | module-definition Binding: LibraryType (extensible): The type of knowledge asset this library contains. | ||||
 subject[x] | 0..1 | Type of individual the library content is focused on Binding: SubjectType (extensible): The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||
| subjectCodeableConcept | CodeableConcept | |||||||
 subjectReference | Reference(Group) | |||||||
| date | SΣ | 0..1 | dateTime | Date last changed | ||||
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
| contact | SΣ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description | Σ | 1..1 | markdown | Natural language description of the library | ||||
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for library (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose | 0..1 | markdown | Why this library is defined | |||||
| usage | 0..1 | string | Describes the clinical usage of the library | |||||
| copyright | 0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate | 0..1 | date | When the library was approved by publisher | |||||
| lastReviewDate | 0..1 | date | When the library was last reviewed | |||||
| effectivePeriod | Σ | 0..1 | Period | When the library is expected to be used | ||||
| topic | 0..* | CodeableConcept | E.g. Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
| author | 0..* | ContactDetail | Who authored the content | |||||
| editor | 0..* | ContactDetail | Who edited the content | |||||
| reviewer | 0..* | ContactDetail | Who reviewed the content | |||||
| endorser | 0..* | ContactDetail | Who endorsed the content | |||||
| relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations, etc. | |||||
| parameter | 0..* | ParameterDefinition | Parameters defined by the library | |||||
| dataRequirement | 0..* | DataRequirement | What data is referenced by this library | |||||
| content | Σ | 0..* | Attachment | Contents of the library, either embedded or referenced | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Library.meta.security | extensible | All Security Labels | ||||
| Library.meta.tag | example | CommonTags | ||||
| Library.language | preferred | CommonLanguages
| ||||
| Library.status | required | PublicationStatus | ||||
| Library.type | extensible | LibraryType | ||||
| Library.subject[x] | extensible | SubjectType | ||||
| Library.jurisdiction | extensible | Jurisdiction ValueSet | ||||
| Library.topic | example | DefinitionTopic |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Library | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Library | 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 | error | Library | 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 | error | Library | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Library | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lib-0 | warning | Library | 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}') |
This structure is derived from Shareable Library
Differential View
This structure is derived from Shareable Library
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Library | 1..1 | Shareable Library | Represents a library of quality improvement components | |
| meta | 1..1 | Meta | Metadata about the resource | |
| profile | S | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment |
| type | S | 1..1 | CodeableConcept | logic-library | model-definition | asset-collection | module-definition |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Library | C | 1..1 | Shareable Library | Represents a library of quality improvement components |
| meta | Σ | 1..1 | Meta | Metadata about the resource |
| profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| url | Σ | 1..1 | uri | Canonical identifier for this library, represented as a URI (globally unique) |
| identifier | SΣ | 0..* | Identifier | Additional identifier for the library |
| version | Σ | 1..1 | string | Business version of the library |
| name | ΣC | 1..1 | string | Name for this library (computer friendly) |
| title | SΣ | 0..1 | string | Name for this library (human friendly) |
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage |
| type | SΣ | 1..1 | CodeableConcept | logic-library | model-definition | asset-collection | module-definition Binding: LibraryType (extensible): The type of knowledge asset this library contains. |
| date | SΣ | 0..1 | dateTime | Date last changed |
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) |
| contact | SΣ | 0..* | ContactDetail | Contact details for the publisher |
| description | Σ | 1..1 | markdown | Natural language description of the library |
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for library (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Library.status | required | PublicationStatus |
| Library.type | extensible | LibraryType |
| Library.jurisdiction | extensible | Jurisdiction ValueSet |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Library | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Library | 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 | error | Library | 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 | error | Library | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Library | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lib-0 | warning | Library | 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}') |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Library | C | 1..1 | Shareable Library | Represents a library of quality improvement components | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 1..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed | ||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url | Σ | 1..1 | uri | Canonical identifier for this library, represented as a URI (globally unique) | ||||
| identifier | SΣ | 0..* | Identifier | Additional identifier for the library | ||||
| version | Σ | 1..1 | string | Business version of the library | ||||
| name | ΣC | 1..1 | string | Name for this library (computer friendly) | ||||
| title | SΣ | 0..1 | string | Name for this library (human friendly) | ||||
| subtitle | 0..1 | string | Subordinate title of the library | |||||
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage | ||||
| type | SΣ | 1..1 | CodeableConcept | logic-library | model-definition | asset-collection | module-definition Binding: LibraryType (extensible): The type of knowledge asset this library contains. | ||||
| subject[x] | 0..1 | Type of individual the library content is focused on Binding: SubjectType (extensible): The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||
| subjectCodeableConcept | CodeableConcept | |||||||
| subjectReference | Reference(Group) | |||||||
| date | SΣ | 0..1 | dateTime | Date last changed | ||||
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
| contact | SΣ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description | Σ | 1..1 | markdown | Natural language description of the library | ||||
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for library (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose | 0..1 | markdown | Why this library is defined | |||||
| usage | 0..1 | string | Describes the clinical usage of the library | |||||
| copyright | 0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate | 0..1 | date | When the library was approved by publisher | |||||
| lastReviewDate | 0..1 | date | When the library was last reviewed | |||||
| effectivePeriod | Σ | 0..1 | Period | When the library is expected to be used | ||||
| topic | 0..* | CodeableConcept | E.g. Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
| author | 0..* | ContactDetail | Who authored the content | |||||
| editor | 0..* | ContactDetail | Who edited the content | |||||
| reviewer | 0..* | ContactDetail | Who reviewed the content | |||||
| endorser | 0..* | ContactDetail | Who endorsed the content | |||||
| relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations, etc. | |||||
| parameter | 0..* | ParameterDefinition | Parameters defined by the library | |||||
| dataRequirement | 0..* | DataRequirement | What data is referenced by this library | |||||
| content | Σ | 0..* | Attachment | Contents of the library, either embedded or referenced | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| Library.meta.security | extensible | All Security Labels | ||||
| Library.meta.tag | example | CommonTags | ||||
| Library.language | preferred | CommonLanguages
| ||||
| Library.status | required | PublicationStatus | ||||
| Library.type | extensible | LibraryType | ||||
| Library.subject[x] | extensible | SubjectType | ||||
| Library.jurisdiction | extensible | Jurisdiction ValueSet | ||||
| Library.topic | example | DefinitionTopic |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Library | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Library | 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 | error | Library | 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 | error | Library | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Library | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lib-0 | warning | Library | 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}') |
This structure is derived from Shareable Library
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#4.0.0 based on FHIR 4.0.1. Generated 2023-08-28
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change