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: measure-cqfm

Examples:

Simple 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/measure-cqfm

The CQFM Measure Profile describes minimum expectations for defining an electronic Clinical Quality Measure (eCQM)

This profile builds on Shareable Measure.

This profile was published on Wed Feb 13 00:00:00 UTC 2019 as a active by Health Level Seven, Inc. - CQI WG.

Description of Profiles, Differentials, and Snapshots.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1Shareable MeasureA quality measure definition
... meta S1..1MetaMetadata about the resource
.... profile S1..1canonical(StructureDefinition)Profiles this resource claims to conform to
... cqfm-artifactComment S0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
... cqfm-populationBasis S1..1codeWhat type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required)
... cqfm-allocation S0..1markdownAllocation guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... 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)
... scoring S1..1CodeableConceptproportion | ratio | continuous-variable | cohort
... type S1..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
... improvementNotation S1..1CodeableConceptincrease | decrease
... group S1..*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
.... population S1..*BackboneElementPopulation criteria
..... id S1..1stringUnique id for inter-element referencing
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
..... 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 S0..*BackboneElementStratifier criteria for the measure
..... id S1..1stringUnique id for inter-element referencing
..... 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.
... 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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I1..1Shareable MeasureA 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 I0..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 SΣI0..*IdentifierAdditional identifier for the measure
... version ΣI1..1stringBusiness version of the measure
... name ΣI1..1stringName for this measure (computer friendly)
... title SΣI0..1stringName for this measure (human friendly)
... subtitle I0..1stringSubordinate title of the measure
... status ?!ΣI1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required)
... 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 SΣI0..1dateTimeDate last changed
... publisher ΣI1..1stringName of the publisher (organization or individual)
... contact SΣI0..*ContactDetailContact details for the publisher
... description ΣI1..1markdownNatural language description of the measure
... useContext SΣI0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣI0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible)
... purpose I0..1markdownWhy this measure is defined
... usage I0..1stringDescribes the clinical usage of the measure
... copyright I0..1markdownUse and/or publishing restrictions
... approvalDate I0..1dateWhen the measure was approved by publisher
... lastReviewDate I0..1dateWhen the measure was last reviewed
... effectivePeriod ΣI0..1PeriodWhen the measure is expected to be used
... topic I0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example)
... author I0..*ContactDetailWho authored the content
... editor I0..*ContactDetailWho edited the content
... reviewer I0..*ContactDetailWho reviewed the content
... endorser I0..*ContactDetailWho endorsed the content
... relatedArtifact I0..*RelatedArtifactAdditional documentation, citations, etc.
... 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 ΣI0..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
... 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..1Shareable MeasureA quality measure definition
... meta S1..1MetaMetadata about the resource
.... profile S1..1canonical(StructureDefinition)Profiles this resource claims to conform to
... cqfm-artifactComment S0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
... cqfm-populationBasis S1..1codeWhat type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required)
... cqfm-allocation S0..1markdownAllocation guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
... cqfm-softwaresystem S0..*Reference(CQFMDevice)Extension
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
... 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)
... scoring S1..1CodeableConceptproportion | ratio | continuous-variable | cohort
... type S1..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
... improvementNotation S1..1CodeableConceptincrease | decrease
... group S1..*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
.... population S1..*BackboneElementPopulation criteria
..... id S1..1stringUnique id for inter-element referencing
..... code S1..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
..... 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 S0..*BackboneElementStratifier criteria for the measure
..... id S1..1stringUnique id for inter-element referencing
..... 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.
... 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

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I1..1Shareable MeasureA 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 I0..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 SΣI0..*IdentifierAdditional identifier for the measure
... version ΣI1..1stringBusiness version of the measure
... name ΣI1..1stringName for this measure (computer friendly)
... title SΣI0..1stringName for this measure (human friendly)
... subtitle I0..1stringSubordinate title of the measure
... status ?!ΣI1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required)
... 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 SΣI0..1dateTimeDate last changed
... publisher ΣI1..1stringName of the publisher (organization or individual)
... contact SΣI0..*ContactDetailContact details for the publisher
... description ΣI1..1markdownNatural language description of the measure
... useContext SΣI0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣI0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible)
... purpose I0..1markdownWhy this measure is defined
... usage I0..1stringDescribes the clinical usage of the measure
... copyright I0..1markdownUse and/or publishing restrictions
... approvalDate I0..1dateWhen the measure was approved by publisher
... lastReviewDate I0..1dateWhen the measure was last reviewed
... effectivePeriod ΣI0..1PeriodWhen the measure is expected to be used
... topic I0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example)
... author I0..*ContactDetailWho authored the content
... editor I0..*ContactDetailWho edited the content
... reviewer I0..*ContactDetailWho reviewed the content
... endorser I0..*ContactDetailWho endorsed the content
... relatedArtifact I0..*RelatedArtifactAdditional documentation, citations, etc.
... 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 ΣI0..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
... 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
Measure.meta.securityextensibleAll Security Labels
Measure.meta.tagexampleCommonTags
Measure.languagepreferredCommonLanguages
Max Binding: AllLanguages
Measure.statusrequiredPublicationStatus
Measure.subject[x]extensibleSubjectType
Measure.jurisdictionextensibleJurisdiction ValueSet
Measure.topicexampleDefinitionTopic
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.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.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.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.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())