Da Vinci Risk Adjustment Implementation Guide
1.0.0 - STU 1 US

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: Risk Adjustment Model Measure

Official URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure Version: 1.0.0
Active as of 2022-06-16 Computable Name: RiskAdjustmentModelMeasure

Copyright/Legal: Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License

This risk adjustment model measure profile is based on the Measure resoure to represent a risk adjustment model and its version such as CMS-HCC version 24.

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each Measure must have:

  1. A Measure.status element
  2. A Measure.identifier element which is the identifier of a Risk Adjustment Model
  3. A Measure.version element which is the version of the Risk Adjustment Model

Each Measure should have ([Must Support]):

  1. A name element
  2. A title element

Usage:

Formal Views of Profile Content

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

This structure is derived from Measure

Summary

Mandatory: 4 elements
Must-Support: 7 elements

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 0..*MeasureA Risk Adjustment Model
... meta S1..1MetaMetadata about the resource
.... profile S1..*canonical(StructureDefinition)Profiles this resource claims to conform to
... identifier S1..*IdentifierRisk Adjustment Model ID, e.g., CMS-HCC
... version S1..1stringRisk Adjustment Model version, e.g., 24
... title S0..1stringE.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... status S1..1codedraft | active | retired | unknown

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I0..*MeasureA Risk Adjustment Model
... id Σ0..1stringLogical id of this artifact
... meta SΣ1..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile SΣ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url Σ0..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ1..*IdentifierRisk Adjustment Model ID, e.g., CMS-HCC
... version SΣ1..1stringRisk Adjustment Model version, e.g., 24
... name SΣI0..1stringe.g., CMS-HCCv24
... title SΣ0..1stringE.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... subtitle 0..1stringSubordinate title of the measure
... status ?!SΣ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental Σ0..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date Σ0..1dateTimeDate last changed
... publisher Σ0..1stringName of the publisher (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... description Σ0..1markdownNatural language description of the measure
... useContext Σ0..*UsageContextThe context that the content is intended to support
... jurisdiction Σ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the measure was approved by publisher
... lastReviewDate 0..1dateWhen the measure was last reviewed
... effectivePeriod Σ0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactAdditional documentation, citations, etc.
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ0..1stringHow risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... group 0..*BackboneElementPopulation criteria group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the group
.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
..... description 0..1stringThe human readable description of this stratifier
..... criteria 0..1ExpressionHow the measure should be stratified
..... component 0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code 0..1CodeableConceptMeaning of the stratifier component
...... description 0..1stringThe human readable description of this stratifier component
...... criteria 1..1ExpressionComponent of how the measure should be stratified
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I0..*MeasureA Risk Adjustment Model
... meta Σ1..1MetaMetadata about the resource
.... profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
... identifier Σ1..*IdentifierRisk Adjustment Model ID, e.g., CMS-HCC
... version Σ1..1stringRisk Adjustment Model version, e.g., 24
... title Σ0..1stringE.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.


doco Documentation for this format

This structure is derived from Measure

Summary

Mandatory: 4 elements
Must-Support: 7 elements

Differential View

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 0..*MeasureA Risk Adjustment Model
... meta S1..1MetaMetadata about the resource
.... profile S1..*canonical(StructureDefinition)Profiles this resource claims to conform to
... identifier S1..*IdentifierRisk Adjustment Model ID, e.g., CMS-HCC
... version S1..1stringRisk Adjustment Model version, e.g., 24
... title S0..1stringE.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... status S1..1codedraft | active | retired | unknown

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I0..*MeasureA Risk Adjustment Model
... id Σ0..1stringLogical id of this artifact
... meta SΣ1..1MetaMetadata about the resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile SΣ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url Σ0..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ1..*IdentifierRisk Adjustment Model ID, e.g., CMS-HCC
... version SΣ1..1stringRisk Adjustment Model version, e.g., 24
... name SΣI0..1stringe.g., CMS-HCCv24
... title SΣ0..1stringE.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... subtitle 0..1stringSubordinate title of the measure
... status ?!SΣ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental Σ0..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date Σ0..1dateTimeDate last changed
... publisher Σ0..1stringName of the publisher (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... description Σ0..1markdownNatural language description of the measure
... useContext Σ0..*UsageContextThe context that the content is intended to support
... jurisdiction Σ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the measure was approved by publisher
... lastReviewDate 0..1dateWhen the measure was last reviewed
... effectivePeriod Σ0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactAdditional documentation, citations, etc.
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ0..1stringHow risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... group 0..*BackboneElementPopulation criteria group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the group
.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
..... description 0..1stringThe human readable description of this stratifier
..... criteria 0..1ExpressionHow the measure should be stratified
..... component 0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code 0..1CodeableConceptMeaning of the stratifier component
...... description 0..1stringThe human readable description of this stratifier component
...... criteria 1..1ExpressionComponent of how the measure should be stratified
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

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

Constraints

IdGradePathDetailsRequirements
dom-2errorMeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMeasureIf 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-4errorMeasureIf 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-5errorMeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6Best PracticeMeasureA resource should have narrative for robust management
: text.`div`.exists()
mea-0warningMeasureName 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-1errorMeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())
ele-1errorMeasure.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.meta.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.meta.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.meta.versionIdAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.meta.lastUpdatedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.meta.sourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.meta.profileAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.meta.securityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.meta.tagAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.subtitleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.experimentalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.subject[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.publisherAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.useContextAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.jurisdictionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.purposeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.usageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.copyrightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.approvalDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.lastReviewDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.effectivePeriodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.topicAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.editorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.reviewerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.endorserAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.relatedArtifactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.libraryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.disclaimerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.scoringAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.compositeScoringAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.riskAdjustmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.rateAggregationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.rationaleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.clinicalRecommendationStatementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.improvementNotationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.definitionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.guidanceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.groupAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.group.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.group.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.group.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.group.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.populationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.population.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.group.population.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.group.population.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.group.population.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.group.population.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.population.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.population.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.stratifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.stratifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.group.stratifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.group.stratifier.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.group.stratifier.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.group.stratifier.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.stratifier.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.stratifier.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.stratifier.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.stratifier.component.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.group.stratifier.component.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.group.stratifier.component.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.group.stratifier.component.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.group.stratifier.component.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.stratifier.component.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.group.stratifier.component.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.supplementalDataAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.supplementalData.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.supplementalData.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.supplementalData.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1errorMeasure.supplementalData.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1errorMeasure.supplementalData.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.supplementalData.usageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.supplementalData.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1errorMeasure.supplementalData.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())