Quality Measure Implementation Guide
1.0.0-ballot - ballot
Quality Measure Implementation Guide
1.0.0-ballot - ballot
This page is part of the Quality Measure Implementation Guide (v1.0.0-ballot: STU1 (v1.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-ratiomeasure | Version: 1.0.0 | |||
| Active as of 2024-12-16 | Computable Name: CQMRatioMeasure | |||
The cqm Ratio Measure Profile describes a ratio scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CQMComputableMeasure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Measure |
0..* | CQMComputableMeasure | A quality measure definition | |
  scoring |
S | 0..1 | CodeableConcept | ratio Required Pattern: At least the following |
   coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
 group |
SC | 1..* | BackboneElement | Population criteria group cmp-13: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria |
 Slices for extension |
Content/Rules for all slices | |||
  scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| Slices for population |
SC | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
 population:initialPopulation |
S | 1..2 | BackboneElement | Initial Population |
  Slices for extension |
Content/Rules for all slices | |||
 populationBasis |
0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |
 code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| population:denominator |
S | 1..1 | BackboneElement | Denominator |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| population:denominatorExclusion |
S | 0..1 | BackboneElement | Denominator Exclusion |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| population:numerator |
S | 1..1 | BackboneElement | Numerator |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| population:numeratorExclusion |
S | 0..1 | BackboneElement | Numerator Exclusion |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
 population:measureObservation |
S | 0..2 | BackboneElement | Measure Observation |
| Slices for extension |
Content/Rules for all slices | |||
 criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| cmp-13 | error | Measure.group | Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'ratio' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure |
SC | 0..* | CQMComputableMeasure | A quality measure definition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. ele-1: All FHIR elements must have a @value or children |
 subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children | |
| subjectCodeableConcept |
CodeableConcept | |||
 subjectReference |
Reference(Group) | |||
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure ele-1: All FHIR elements must have a @value or children |
| scoring |
SΣC | 0..1 | CodeableConcept | ratio Binding: Measure Scoring (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| type |
SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). ele-1: All FHIR elements must have a @value or children |
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) ele-1: All FHIR elements must have a @value or children |
| group |
SC | 1..* | BackboneElement | Population criteria group ele-1: All FHIR elements must have a @value or children cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-13: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| component |
S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| type |
C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | Meaning of the group ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | Summary description ele-1: All FHIR elements must have a @value or children |
| Slices for population |
SC | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code ele-1: All FHIR elements must have a @value or children |
| population:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:initialPopulation |
S | 1..2 | BackboneElement | Initial Population ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
 criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:denominator |
S | 1..1 | BackboneElement | Denominator ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:denominatorExclusion |
S | 0..1 | BackboneElement | Denominator Exclusion ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:numerator |
S | 1..1 | BackboneElement | Numerator ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:numeratorExclusion |
S | 0..1 | BackboneElement | Numerator Exclusion ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:measureObservation |
S | 0..2 | BackboneElement | Measure Observation ele-1: All FHIR elements must have a @value or children |
 Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | The human readable description of this stratifier ele-1: All FHIR elements must have a @value or children |
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | The human readable description of this stratifier component ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | Component of how the measure should be stratified ele-1: All FHIR elements must have a @value or children | |
| supplementalData |
S | 0..* | BackboneElement | What other data should be reported with the measure ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data ele-1: All FHIR elements must have a @value or children |
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | The human readable description of this supplemental data ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | Expression describing additional data to be reported ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1from the FHIR Standard | |
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typefrom this IG | |
| Measure.scoring | extensible | Pattern: ratiohttp://terminology.hl7.org/ValueSet/measure-scoring | |
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typefrom the FHIR Standard | |
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | |
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:initialPopulation.code | extensible | Pattern: initial-populationhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:denominator.code | extensible | Pattern: denominatorhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:denominatorExclusion.code | extensible | Pattern: denominator-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:numerator.code | extensible | Pattern: numeratorhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:numeratorExclusion.code | extensible | Pattern: numerator-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:measureObservation.code | extensible | Pattern: measure-observationhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usagefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists()).allTrue() | |
| cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists()).allTrue()) | |
| cmp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies scoring.exists() | |
| cmp-4 | error | Measure | Improvement notation must be specified for scoring types other than cohort : (scoring.exists() and (scoring.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
| cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type').exists()).allFalse() | |
| cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment').exists()).allFalse() | |
| cmp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation').exists()).allFalse() | |
| cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() | |
| cmp-9 | error | Measure.group | Improvement notation must be specified for scoring types other than cohort : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists() | |
| cmp-13 | error | Measure.group | Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'ratio' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | 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 | Measure | 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 | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | 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() | |
| mea-0 | warning | Measure | 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}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Measure |
SC | 0..* | CQMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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 | |||||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit | ||||
| effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements | ||||
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url |
Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
| identifier |
Σ | 0..* | Identifier | Additional identifier for the measure | ||||
| version |
Σ | 0..1 | string | Business version of the measure | ||||
| name |
ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
| title |
Σ | 0..1 | string | Name for this measure (human friendly) | ||||
| subtitle |
0..1 | string | Subordinate title of the measure | |||||
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental |
Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |||||
| subjectCodeableConcept |
CodeableConcept | |||||||
| subjectReference |
Reference(Group) | |||||||
| date |
Σ | 0..1 | dateTime | Date last changed | ||||
| publisher |
Σ | 0..1 | string | Name of the publisher (organization or individual) | ||||
| contact |
Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description |
Σ | 0..1 | markdown | Natural language description of the measure | ||||
| useContext |
Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction |
Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose |
0..1 | markdown | Why this measure is defined | |||||
| usage |
0..1 | string | Describes the clinical usage of the measure | |||||
| copyright |
0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate |
0..1 | date | When the measure was approved by publisher | |||||
| lastReviewDate |
0..1 | date | When the measure was last reviewed | |||||
| effectivePeriod |
Σ | 0..1 | Period | When the measure is expected to be used | ||||
| topic |
0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: 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. | |||||
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure | ||||
| disclaimer |
Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| scoring |
SΣC | 0..1 | CodeableConcept | ratio Binding: Measure Scoring (extensible) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| compositeScoring |
Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
| type |
SΣC | 0..* | CodeableConcept | process | 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 |
ΣC | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation |
ΣC | 0..1 | string | How is rate aggregation performed for this measure | ||||
| rationale |
Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
| clinicalRecommendationStatement |
Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||
| definition |
Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance |
Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group |
SC | 1..* | BackboneElement | Population criteria group cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-13: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed | ||||
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit | ||||
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |||||
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||
| component |
S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component | ||||
| type |
C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. | ||||
| riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment | ||||
| rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation | ||||
| improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the group | ||||
| description |
S | 0..1 | string | Summary description | ||||
| Slices for population |
SC | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code | ||||
| population:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. | ||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:initialPopulation |
S | 1..2 | BackboneElement | Initial Population | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| populationBasis |
0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:denominator |
S | 1..1 | BackboneElement | Denominator | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:denominatorExclusion |
S | 0..1 | BackboneElement | Denominator Exclusion | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:numerator |
S | 1..1 | BackboneElement | Numerator | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:numeratorExclusion |
S | 0..1 | BackboneElement | Numerator Exclusion | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:measureObservation |
S | 0..2 | BackboneElement | Measure Observation | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier | ||||
| criteria |
0..1 | Expression | How the measure should be stratified | |||||
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier component | ||||
| criteria |
1..1 | Expression | Component of how the measure should be stratified | |||||
| supplementalData |
S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data | ||||
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | ||||
| description |
S | 0..1 | string | The human readable description of this supplemental data | ||||
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Measure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1from the FHIR Standard | ||||
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typefrom this IG | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdictionfrom the FHIR Standard | ||||
| Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topicfrom the FHIR Standard | ||||
| Measure.scoring | extensible | Pattern: ratiohttp://terminology.hl7.org/ValueSet/measure-scoring | ||||
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://hl7.org/fhir/ValueSet/composite-measure-scoringfrom the FHIR Standard | ||||
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typefrom the FHIR Standard | ||||
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | ||||
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:initialPopulation.code | extensible | Pattern: initial-populationhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:denominator.code | extensible | Pattern: denominatorhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:denominatorExclusion.code | extensible | Pattern: denominator-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:numerator.code | extensible | Pattern: numeratorhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:numeratorExclusion.code | extensible | Pattern: numerator-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:measureObservation.code | extensible | Pattern: measure-observationhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usagefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists()).allTrue() | |
| cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists()).allTrue()) | |
| cmp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies scoring.exists() | |
| cmp-4 | error | Measure | Improvement notation must be specified for scoring types other than cohort : (scoring.exists() and (scoring.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
| cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type').exists()).allFalse() | |
| cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment').exists()).allFalse() | |
| cmp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation').exists()).allFalse() | |
| cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() | |
| cmp-9 | error | Measure.group | Improvement notation must be specified for scoring types other than cohort : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists() | |
| cmp-13 | error | Measure.group | Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'ratio' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | 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 | Measure | 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 | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | 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() | |
| mea-0 | warning | Measure | 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}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CQMComputableMeasure
Summary
Mandatory: 7 elements(4 nested mandatory elements)
Must-Support: 22 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CQMComputableMeasure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure |
0..* | CQMComputableMeasure | A quality measure definition | |
| scoring |
S | 0..1 | CodeableConcept | ratio Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| group |
SC | 1..* | BackboneElement | Population criteria group cmp-13: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria |
| Slices for extension |
Content/Rules for all slices | |||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| Slices for population |
SC | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
| population:initialPopulation |
S | 1..2 | BackboneElement | Initial Population |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| population:denominator |
S | 1..1 | BackboneElement | Denominator |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| population:denominatorExclusion |
S | 0..1 | BackboneElement | Denominator Exclusion |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| population:numerator |
S | 1..1 | BackboneElement | Numerator |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| population:numeratorExclusion |
S | 0..1 | BackboneElement | Numerator Exclusion |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| population:measureObservation |
S | 0..2 | BackboneElement | Measure Observation |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference |
| aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| cmp-13 | error | Measure.group | Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'ratio' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure |
SC | 0..* | CQMComputableMeasure | A quality measure definition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. ele-1: All FHIR elements must have a @value or children |
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children | |
| subjectCodeableConcept |
CodeableConcept | |||
| subjectReference |
Reference(Group) | |||
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure ele-1: All FHIR elements must have a @value or children |
| scoring |
SΣC | 0..1 | CodeableConcept | ratio Binding: Measure Scoring (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| type |
SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). ele-1: All FHIR elements must have a @value or children |
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) ele-1: All FHIR elements must have a @value or children |
| group |
SC | 1..* | BackboneElement | Population criteria group ele-1: All FHIR elements must have a @value or children cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-13: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| component |
S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| type |
C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | Meaning of the group ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | Summary description ele-1: All FHIR elements must have a @value or children |
| Slices for population |
SC | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code ele-1: All FHIR elements must have a @value or children |
| population:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:initialPopulation |
S | 1..2 | BackboneElement | Initial Population ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:denominator |
S | 1..1 | BackboneElement | Denominator ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:denominatorExclusion |
S | 0..1 | BackboneElement | Denominator Exclusion ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:numerator |
S | 1..1 | BackboneElement | Numerator ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:numeratorExclusion |
S | 0..1 | BackboneElement | Numerator Exclusion ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| population:measureObservation |
S | 0..2 | BackboneElement | Measure Observation ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| description |
S | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children | |
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure ele-1: All FHIR elements must have a @value or children |
| Slices for extension |
Content/Rules for all slices | |||
| appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | The human readable description of this stratifier ele-1: All FHIR elements must have a @value or children |
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | The human readable description of this stratifier component ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | Component of how the measure should be stratified ele-1: All FHIR elements must have a @value or children | |
| supplementalData |
S | 0..* | BackboneElement | What other data should be reported with the measure ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data ele-1: All FHIR elements must have a @value or children |
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. ele-1: All FHIR elements must have a @value or children |
| description |
S | 0..1 | string | The human readable description of this supplemental data ele-1: All FHIR elements must have a @value or children |
| criteria |
1..1 | Expression | Expression describing additional data to be reported ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1from the FHIR Standard | |
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typefrom this IG | |
| Measure.scoring | extensible | Pattern: ratiohttp://terminology.hl7.org/ValueSet/measure-scoring | |
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typefrom the FHIR Standard | |
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | |
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:initialPopulation.code | extensible | Pattern: initial-populationhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:denominator.code | extensible | Pattern: denominatorhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:denominatorExclusion.code | extensible | Pattern: denominator-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:numerator.code | extensible | Pattern: numeratorhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:numeratorExclusion.code | extensible | Pattern: numerator-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.group.population:measureObservation.code | extensible | Pattern: measure-observationhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usagefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists()).allTrue() | |
| cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists()).allTrue()) | |
| cmp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies scoring.exists() | |
| cmp-4 | error | Measure | Improvement notation must be specified for scoring types other than cohort : (scoring.exists() and (scoring.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
| cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type').exists()).allFalse() | |
| cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment').exists()).allFalse() | |
| cmp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation').exists()).allFalse() | |
| cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() | |
| cmp-9 | error | Measure.group | Improvement notation must be specified for scoring types other than cohort : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists() | |
| cmp-13 | error | Measure.group | Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'ratio' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | 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 | Measure | 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 | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | 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() | |
| mea-0 | warning | Measure | 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}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Measure |
SC | 0..* | CQMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| 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 | |||||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit | ||||
| effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements | ||||
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url |
Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
| identifier |
Σ | 0..* | Identifier | Additional identifier for the measure | ||||
| version |
Σ | 0..1 | string | Business version of the measure | ||||
| name |
ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
| title |
Σ | 0..1 | string | Name for this measure (human friendly) | ||||
| subtitle |
0..1 | string | Subordinate title of the measure | |||||
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental |
Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |||||
| subjectCodeableConcept |
CodeableConcept | |||||||
| subjectReference |
Reference(Group) | |||||||
| date |
Σ | 0..1 | dateTime | Date last changed | ||||
| publisher |
Σ | 0..1 | string | Name of the publisher (organization or individual) | ||||
| contact |
Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description |
Σ | 0..1 | markdown | Natural language description of the measure | ||||
| useContext |
Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction |
Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose |
0..1 | markdown | Why this measure is defined | |||||
| usage |
0..1 | string | Describes the clinical usage of the measure | |||||
| copyright |
0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate |
0..1 | date | When the measure was approved by publisher | |||||
| lastReviewDate |
0..1 | date | When the measure was last reviewed | |||||
| effectivePeriod |
Σ | 0..1 | Period | When the measure is expected to be used | ||||
| topic |
0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: 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. | |||||
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure | ||||
| disclaimer |
Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| scoring |
SΣC | 0..1 | CodeableConcept | ratio Binding: Measure Scoring (extensible) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| compositeScoring |
Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
| type |
SΣC | 0..* | CodeableConcept | process | 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 |
ΣC | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation |
ΣC | 0..1 | string | How is rate aggregation performed for this measure | ||||
| rationale |
Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
| clinicalRecommendationStatement |
Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||
| definition |
Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance |
Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group |
SC | 1..* | BackboneElement | Population criteria group cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-13: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed | ||||
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit | ||||
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |||||
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||
| component |
S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component | ||||
| type |
C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. | ||||
| riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment | ||||
| rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation | ||||
| improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the group | ||||
| description |
S | 0..1 | string | Summary description | ||||
| Slices for population |
SC | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code | ||||
| population:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. | ||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:initialPopulation |
S | 1..2 | BackboneElement | Initial Population | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| populationBasis |
0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:denominator |
S | 1..1 | BackboneElement | Denominator | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:denominatorExclusion |
S | 0..1 | BackboneElement | Denominator Exclusion | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:numerator |
S | 1..1 | BackboneElement | Numerator | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:numeratorExclusion |
S | 0..1 | BackboneElement | Numerator Exclusion | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:measureObservation |
S | 0..2 | BackboneElement | Measure Observation | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| criteriaReference |
S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-criteriaReference | ||||
| aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier | ||||
| criteria |
0..1 | Expression | How the measure should be stratified | |||||
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier component | ||||
| criteria |
1..1 | Expression | Component of how the measure should be stratified | |||||
| supplementalData |
S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data | ||||
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | ||||
| description |
S | 0..1 | string | The human readable description of this supplemental data | ||||
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Measure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1from the FHIR Standard | ||||
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typefrom this IG | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdictionfrom the FHIR Standard | ||||
| Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topicfrom the FHIR Standard | ||||
| Measure.scoring | extensible | Pattern: ratiohttp://terminology.hl7.org/ValueSet/measure-scoring | ||||
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://hl7.org/fhir/ValueSet/composite-measure-scoringfrom the FHIR Standard | ||||
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typefrom the FHIR Standard | ||||
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | ||||
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:initialPopulation.code | extensible | Pattern: initial-populationhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:denominator.code | extensible | Pattern: denominatorhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:denominatorExclusion.code | extensible | Pattern: denominator-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:numerator.code | extensible | Pattern: numeratorhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:numeratorExclusion.code | extensible | Pattern: numerator-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.group.population:measureObservation.code | extensible | Pattern: measure-observationhttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usagefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists()).allTrue() | |
| cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists()).allTrue()) | |
| cmp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies scoring.exists() | |
| cmp-4 | error | Measure | Improvement notation must be specified for scoring types other than cohort : (scoring.exists() and (scoring.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
| cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type').exists()).allFalse() | |
| cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment').exists()).allFalse() | |
| cmp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation').exists()).allFalse() | |
| cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() | |
| cmp-9 | error | Measure.group | Improvement notation must be specified for scoring types other than cohort : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists() | |
| cmp-13 | error | Measure.group | Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'ratio' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | 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 | Measure | 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 | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | 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() | |
| mea-0 | warning | Measure | 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}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CQMComputableMeasure
Summary
Mandatory: 7 elements(4 nested mandatory elements)
Must-Support: 22 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.uv.cqm#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-12-16
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