Generated Narrative: ConceptMap R3-Measure-element-map-to-R4 Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0 Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to Measureversion: 4.0.1) Source Concept Details Relationship Target Concept Details Comment Codes from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 Codes from Measure Measure.meta meta is equivalent to Measure.meta Measure.meta Element `Measure.meta` is mapped to FHIR R4 element `Measure.meta` as `Equivalent`. Measure.implicitRules implicitRules is equivalent to Measure.implicitRules Measure.implicitRules Element `Measure.implicitRules` is mapped to FHIR R4 element `Measure.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. Measure.language language is equivalent to Measure.language Measure.language Element `Measure.language` is mapped to FHIR R4 element `Measure.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Measure.text text is equivalent to Measure.text Measure.text Element `Measure.text` is mapped to FHIR R4 element `Measure.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. Measure.contained contained is equivalent to Measure.contained Measure.contained Element `Measure.contained` is mapped to FHIR R4 element `Measure.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Measure.url url is equivalent to Measure.url Measure.url Element `Measure.url` is mapped to FHIR R4 element `Measure.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. Multiple instances may share the same url if they have a distinct version. Measure.identifier identifier is equivalent to Measure.identifier Measure.identifier Element `Measure.identifier` is mapped to FHIR R4 element `Measure.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this measure outside of FHIR, where it is not possible to use the logical URI. Measure.version version is equivalent to Measure.version Measure.version Element `Measure.version` is mapped to FHIR R4 element `Measure.version` as `Equivalent`. There may be different measure instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a refrence to a particular business version of the measure with the format [url]|[version]. Measure.name name is equivalent to Measure.name Measure.name Element `Measure.name` is mapped to FHIR R4 element `Measure.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly. Measure.title title is equivalent to Measure.title Measure.title Element `Measure.title` is mapped to FHIR R4 element `Measure.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. Measure.status status is equivalent to Measure.status Measure.status Element `Measure.status` is mapped to FHIR R4 element `Measure.status` as `Equivalent`. Allows filtering of measures that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use a retired measure without due consideration. Measure.experimental experimental is equivalent to Measure.experimental Measure.experimental Element `Measure.experimental` is mapped to FHIR R4 element `Measure.experimental` as `Equivalent`. Allows filtering of measure that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use an experimental measure in production. Measure.date date is equivalent to Measure.date Measure.date Element `Measure.date` is mapped to FHIR R4 element `Measure.date` as `Equivalent`. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. Measure.publisher publisher is equivalent to Measure.publisher Measure.publisher Element `Measure.publisher` is mapped to FHIR R4 element `Measure.publisher` as `Equivalent`. Usually an organization, but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context. Measure.description description is equivalent to Measure.description Measure.description Element `Measure.description` is mapped to FHIR R4 element `Measure.description` as `Equivalent`. This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created). Measure.purpose purpose is equivalent to Measure.purpose Measure.purpose Element `Measure.purpose` is mapped to FHIR R4 element `Measure.purpose` as `Equivalent`. This element does not describe the usage of the measure Instead it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this measure. Measure.usage usage is equivalent to Measure.usage Measure.usage Element `Measure.usage` is mapped to FHIR R4 element `Measure.usage` as `Equivalent`. Measure.approvalDate approvalDate is equivalent to Measure.approvalDate Measure.approvalDate Element `Measure.approvalDate` is mapped to FHIR R4 element `Measure.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes / editorial corrections. Measure.lastReviewDate lastReviewDate is equivalent to Measure.lastReviewDate Measure.lastReviewDate Element `Measure.lastReviewDate` is mapped to FHIR R4 element `Measure.lastReviewDate` as `Equivalent`. If specified, this is usually after the approval date. Measure.effectivePeriod effectivePeriod is equivalent to Measure.effectivePeriod Measure.effectivePeriod Element `Measure.effectivePeriod` is mapped to FHIR R4 element `Measure.effectivePeriod` as `Equivalent`. The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. Measure.useContext useContext is equivalent to Measure.useContext Measure.useContext Element `Measure.useContext` is mapped to FHIR R4 element `Measure.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply. Measure.jurisdiction jurisdiction is equivalent to Measure.jurisdiction Measure.jurisdiction Element `Measure.jurisdiction` is mapped to FHIR R4 element `Measure.jurisdiction` as `Equivalent`. It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended. Measure.topic topic is equivalent to Measure.topic Measure.topic Element `Measure.topic` is mapped to FHIR R4 element `Measure.topic` as `Equivalent`. Measure.contact contact is equivalent to Measure.contact Measure.contact Element `Measure.contact` is mapped to FHIR R4 element `Measure.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc. Measure.copyright copyright is equivalent to Measure.copyright Measure.copyright Element `Measure.copyright` is mapped to FHIR R4 element `Measure.copyright` as `Equivalent`. Measure.relatedArtifact relatedArtifact is equivalent to Measure.relatedArtifact Measure.relatedArtifact Element `Measure.relatedArtifact` is mapped to FHIR R4 element `Measure.relatedArtifact` as `Equivalent`. Each related artifact is either an attachment, or a reference to another resource, but not both. Measure.library library maps to wider concept Measure.library Measure.library Element `Measure.library` is mapped to FHIR R4 element `Measure.library` as `SourceIsBroaderThanTarget`. The mappings for `Measure.library` do not cover the following types: Reference. The mappings for `Measure.library` do not cover the following types based on type expansion: display, identifier, reference. Measure.disclaimer disclaimer is equivalent to Measure.disclaimer Measure.disclaimer Element `Measure.disclaimer` is mapped to FHIR R4 element `Measure.disclaimer` as `Equivalent`. Measure.scoring scoring is equivalent to Measure.scoring Measure.scoring Element `Measure.scoring` is mapped to FHIR R4 element `Measure.scoring` as `Equivalent`. Measure.compositeScoring compositeScoring is equivalent to Measure.compositeScoring Measure.compositeScoring Element `Measure.compositeScoring` is mapped to FHIR R4 element `Measure.compositeScoring` as `Equivalent`. Measure.type type is equivalent to Measure.type Measure.type Element `Measure.type` is mapped to FHIR R4 element `Measure.type` as `Equivalent`. Measure.riskAdjustment riskAdjustment is equivalent to Measure.riskAdjustment Measure.riskAdjustment Element `Measure.riskAdjustment` is mapped to FHIR R4 element `Measure.riskAdjustment` as `Equivalent`. Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons. Measure.rateAggregation rateAggregation is equivalent to Measure.rateAggregation Measure.rateAggregation Element `Measure.rateAggregation` is mapped to FHIR R4 element `Measure.rateAggregation` as `Equivalent`. The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level). Measure.rationale rationale is equivalent to Measure.rationale Measure.rationale Element `Measure.rationale` is mapped to FHIR R4 element `Measure.rationale` as `Equivalent`. Measure.clinicalRecommendationStatement clinicalRecommendationStatement is equivalent to Measure.clinicalRecommendationStatement Measure.clinicalRecommendationStatement Element `Measure.clinicalRecommendationStatement` is mapped to FHIR R4 element `Measure.clinicalRecommendationStatement` as `Equivalent`. Measure.improvementNotation improvementNotation maps to wider concept Measure.improvementNotation Measure.improvementNotation Element `Measure.improvementNotation` is mapped to FHIR R4 element `Measure.improvementNotation` as `SourceIsBroaderThanTarget`. The mappings for `Measure.improvementNotation` do not cover the following types: string. The mappings for `Measure.improvementNotation` do not cover the following types based on type expansion: value. Measure.definition definition is equivalent to Measure.definition Measure.definition Element `Measure.definition` is mapped to FHIR R4 element `Measure.definition` as `Equivalent`. Measure.guidance guidance is equivalent to Measure.guidance Measure.guidance Element `Measure.guidance` is mapped to FHIR R4 element `Measure.guidance` as `Equivalent`. Measure.group group maps to wider concept Measure.group Measure.group Element `Measure.group` is mapped to FHIR R4 element `Measure.group` as `Equivalent`. Measure.group.description description is equivalent to Measure.group.description Measure.group.description Element `Measure.group.description` is mapped to FHIR R4 element `Measure.group.description` as `Equivalent`. Measure.group.population population maps to wider concept Measure.group.population Measure.group.population Element `Measure.group.population` is mapped to FHIR R4 element `Measure.group.population` as `Equivalent`. Measure.group.population.code code is equivalent to Measure.group.population.code Measure.group.population.code Element `Measure.group.population.code` is mapped to FHIR R4 element `Measure.group.population.code` as `Equivalent`. Measure.group.population.description description is equivalent to Measure.group.population.description Measure.group.population.description Element `Measure.group.population.description` is mapped to FHIR R4 element `Measure.group.population.description` as `Equivalent`. Measure.group.population.criteria criteria maps to wider concept Measure.group.population.criteria Measure.group.population.criteria Element `Measure.group.population.criteria` is mapped to FHIR R4 element `Measure.group.population.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.population.criteria` do not cover the following types: string. The mappings for `Measure.group.population.criteria` do not cover the following types based on type expansion: value. In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information. Measure.group.stratifier stratifier maps to wider concept Measure.group.stratifier Measure.group.stratifier Element `Measure.group.stratifier` is mapped to FHIR R4 element `Measure.group.stratifier` as `Equivalent`. Measure.group.stratifier.criteria criteria maps to wider concept Measure.group.stratifier.criteria Measure.group.stratifier.criteria Element `Measure.group.stratifier.criteria` is mapped to FHIR R4 element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.stratifier.criteria` do not cover the following types: string. The mappings for `Measure.group.stratifier.criteria` do not cover the following types based on type expansion: value. Measure.group.stratifier.path path is equivalent to Measure.group.stratifier Measure.group.stratifier Element `Measure.group.stratifier.path` is mapped to FHIR R4 element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.group.stratifier.path` is mapped to FHIR R4 element `Measure.group.stratifier` as `SourceIsNarrowerThanTarget`. is related to Measure.group.stratifier.criteria Measure.group.stratifier.criteria Element `Measure.group.stratifier.path` is mapped to FHIR R4 element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.group.stratifier.path` is mapped to FHIR R4 element `Measure.group.stratifier` as `SourceIsNarrowerThanTarget`. Measure.supplementalData supplementalData maps to wider concept Measure.supplementalData Measure.supplementalData Element `Measure.supplementalData` is mapped to FHIR R4 element `Measure.supplementalData` as `Equivalent`. Note that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information. Measure.supplementalData.usage usage is equivalent to Measure.supplementalData.usage Measure.supplementalData.usage Element `Measure.supplementalData.usage` is mapped to FHIR R4 element `Measure.supplementalData.usage` as `Equivalent`. Measure.supplementalData.criteria criteria maps to wider concept Measure.supplementalData.criteria Measure.supplementalData.criteria Element `Measure.supplementalData.criteria` is mapped to FHIR R4 element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.supplementalData.criteria` do not cover the following types: string. The mappings for `Measure.supplementalData.criteria` do not cover the following types based on type expansion: value. Measure.supplementalData.path path is equivalent to Measure.supplementalData Measure.supplementalData Element `Measure.supplementalData.path` is mapped to FHIR R4 element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.supplementalData.path` is mapped to FHIR R4 element `Measure.supplementalData` as `SourceIsNarrowerThanTarget`. is related to Measure.supplementalData.criteria Measure.supplementalData.criteria Element `Measure.supplementalData.path` is mapped to FHIR R4 element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.supplementalData.path` is mapped to FHIR R4 element `Measure.supplementalData` as `SourceIsNarrowerThanTarget`. Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: A content contributor (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.contributor (contributor) is equivalent to Extension (STU3: A content contributor (new)) Element `Measure.contributor` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.contributor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: library additional typesversion: 0.1.0) Source Code Relationship Target Code Comment Measure.library (library) is equivalent to Extension (STU3: library additional types) Element `Measure.library` is mapped to FHIR R4 element `Measure.library` as `SourceIsBroaderThanTarget`. The mappings for `Measure.library` do not cover the following types: Reference. The mappings for `Measure.library` do not cover the following types based on type expansion: display, identifier, reference. Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Improvement notation for the measure, e.g. higher score indicates better quality additional typesversion: 0.1.0) Source Code Relationship Target Code Comment Measure.improvementNotation (improvementNotation) is equivalent to Extension (STU3: Improvement notation for the measure, e.g. higher score indicates better quality additional types) Element `Measure.improvementNotation` is mapped to FHIR R4 element `Measure.improvementNotation` as `SourceIsBroaderThanTarget`. The mappings for `Measure.improvementNotation` do not cover the following types: string. The mappings for `Measure.improvementNotation` do not cover the following types based on type expansion: value. Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: The measure set, e.g. Preventive Care and Screening (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.set (set) is equivalent to Extension (STU3: The measure set, e.g. Preventive Care and Screening (new)) Element `Measure.set` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.set` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Unique identifier (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.identifier (identifier) is equivalent to Extension (STU3: Unique identifier (new)) Element `Measure.group.identifier` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Short name (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.name (name) is equivalent to Extension (STU3: Short name (new)) Element `Measure.group.name` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.name` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Unique identifier (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.population.identifier (identifier) is equivalent to Extension (STU3: Unique identifier (new)) Element `Measure.group.population.identifier` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Short name (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.population.name (name) is equivalent to Extension (STU3: Short name (new)) Element `Measure.group.population.name` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.name` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria additional typesversion: 0.1.0) Source Code Relationship Target Code Comment Measure.group.population.criteria (criteria) is equivalent to Extension (STU3: The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria additional types) Element `Measure.group.population.criteria` is mapped to FHIR R4 element `Measure.group.population.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.population.criteria` do not cover the following types: string. The mappings for `Measure.group.population.criteria` do not cover the following types based on type expansion: value. In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information. Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: The identifier for the stratifier used to coordinate the reported data back to this stratifier (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.stratifier.identifier (identifier) is equivalent to Extension (STU3: The identifier for the stratifier used to coordinate the reported data back to this stratifier (new)) Element `Measure.group.stratifier.identifier` has a context of Measure.group.stratifier based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: criteria additional typesversion: 0.1.0) Source Code Relationship Target Code Comment Measure.group.stratifier.criteria (criteria) is equivalent to Extension (STU3: criteria additional types) Element `Measure.group.stratifier.criteria` is mapped to FHIR R4 element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.stratifier.criteria` do not cover the following types: string. The mappings for `Measure.group.stratifier.criteria` do not cover the following types based on type expansion: value. Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: Identifier, unique within the measure (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.supplementalData.identifier (identifier) is equivalent to Extension (STU3: Identifier, unique within the measure (new)) Element `Measure.supplementalData.identifier` has a context of Measure.supplementalData based on following the parent source element upwards and mapping to `Measure`. Element `Measure.supplementalData.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2 to STU3: criteria additional typesversion: 0.1.0) Source Code Relationship Target Code Comment Measure.supplementalData.criteria (criteria) is equivalent to Extension (STU3: criteria additional types) Element `Measure.supplementalData.criteria` is mapped to FHIR R4 element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.supplementalData.criteria` do not cover the following types: string. The mappings for `Measure.supplementalData.criteria` do not cover the following types based on type expansion: value.
Cross-version mapping for FHIR STU3 Measure to FHIR R4 Measure
This ConceptMap represents cross-version mappings for elements from a FHIR STU3 Measure to FHIR R4.
Element `Measure.meta` is mapped to FHIR R4 element `Measure.meta` as `Equivalent`.
Element `Measure.implicitRules` is mapped to FHIR R4 element `Measure.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
Element `Measure.language` is mapped to FHIR R4 element `Measure.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Element `Measure.text` is mapped to FHIR R4 element `Measure.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
Element `Measure.contained` is mapped to FHIR R4 element `Measure.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
Element `Measure.url` is mapped to FHIR R4 element `Measure.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid:, but real http: addresses are preferred. Multiple instances may share the same url if they have a distinct version.
Element `Measure.identifier` is mapped to FHIR R4 element `Measure.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, e.g., to identify this measure outside of FHIR, where it is not possible to use the logical URI.
Element `Measure.version` is mapped to FHIR R4 element `Measure.version` as `Equivalent`. There may be different measure instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a refrence to a particular business version of the measure with the format [url]|[version].
Element `Measure.name` is mapped to FHIR R4 element `Measure.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alpha-numeric type name to ensure that it is computable friendly.
Element `Measure.title` is mapped to FHIR R4 element `Measure.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
Element `Measure.status` is mapped to FHIR R4 element `Measure.status` as `Equivalent`. Allows filtering of measures that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use a retired measure without due consideration.
Element `Measure.experimental` is mapped to FHIR R4 element `Measure.experimental` as `Equivalent`. Allows filtering of measure that are appropriate for use vs. not. This is labeled as "Is Modifier" because applications should not use an experimental measure in production.
Element `Measure.date` is mapped to FHIR R4 element `Measure.date` as `Equivalent`. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.
Element `Measure.publisher` is mapped to FHIR R4 element `Measure.publisher` as `Equivalent`. Usually an organization, but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context.
Element `Measure.description` is mapped to FHIR R4 element `Measure.description` as `Equivalent`. This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the profile is presumed to be the predominant language in the place the profile was created).
Element `Measure.purpose` is mapped to FHIR R4 element `Measure.purpose` as `Equivalent`. This element does not describe the usage of the measure Instead it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this measure.
Element `Measure.usage` is mapped to FHIR R4 element `Measure.usage` as `Equivalent`.
Element `Measure.approvalDate` is mapped to FHIR R4 element `Measure.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes / editorial corrections.
Element `Measure.lastReviewDate` is mapped to FHIR R4 element `Measure.lastReviewDate` as `Equivalent`. If specified, this is usually after the approval date.
Element `Measure.effectivePeriod` is mapped to FHIR R4 element `Measure.effectivePeriod` as `Equivalent`. The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.
Element `Measure.useContext` is mapped to FHIR R4 element `Measure.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation whether all or any of the contexts apply.
Element `Measure.jurisdiction` is mapped to FHIR R4 element `Measure.jurisdiction` as `Equivalent`. It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended.
Element `Measure.topic` is mapped to FHIR R4 element `Measure.topic` as `Equivalent`.
Element `Measure.contact` is mapped to FHIR R4 element `Measure.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc.
Element `Measure.copyright` is mapped to FHIR R4 element `Measure.copyright` as `Equivalent`.
Element `Measure.relatedArtifact` is mapped to FHIR R4 element `Measure.relatedArtifact` as `Equivalent`. Each related artifact is either an attachment, or a reference to another resource, but not both.
Element `Measure.library` is mapped to FHIR R4 element `Measure.library` as `SourceIsBroaderThanTarget`. The mappings for `Measure.library` do not cover the following types: Reference. The mappings for `Measure.library` do not cover the following types based on type expansion: display, identifier, reference.
Element `Measure.disclaimer` is mapped to FHIR R4 element `Measure.disclaimer` as `Equivalent`.
Element `Measure.scoring` is mapped to FHIR R4 element `Measure.scoring` as `Equivalent`.
Element `Measure.compositeScoring` is mapped to FHIR R4 element `Measure.compositeScoring` as `Equivalent`.
Element `Measure.type` is mapped to FHIR R4 element `Measure.type` as `Equivalent`.
Element `Measure.riskAdjustment` is mapped to FHIR R4 element `Measure.riskAdjustment` as `Equivalent`. Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.
Element `Measure.rateAggregation` is mapped to FHIR R4 element `Measure.rateAggregation` as `Equivalent`. The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).
Element `Measure.rationale` is mapped to FHIR R4 element `Measure.rationale` as `Equivalent`.
Element `Measure.clinicalRecommendationStatement` is mapped to FHIR R4 element `Measure.clinicalRecommendationStatement` as `Equivalent`.
Element `Measure.improvementNotation` is mapped to FHIR R4 element `Measure.improvementNotation` as `SourceIsBroaderThanTarget`. The mappings for `Measure.improvementNotation` do not cover the following types: string. The mappings for `Measure.improvementNotation` do not cover the following types based on type expansion: value.
Element `Measure.definition` is mapped to FHIR R4 element `Measure.definition` as `Equivalent`.
Element `Measure.guidance` is mapped to FHIR R4 element `Measure.guidance` as `Equivalent`.
Element `Measure.group` is mapped to FHIR R4 element `Measure.group` as `Equivalent`.
Element `Measure.group.description` is mapped to FHIR R4 element `Measure.group.description` as `Equivalent`.
Element `Measure.group.population` is mapped to FHIR R4 element `Measure.group.population` as `Equivalent`.
Element `Measure.group.population.code` is mapped to FHIR R4 element `Measure.group.population.code` as `Equivalent`.
Element `Measure.group.population.description` is mapped to FHIR R4 element `Measure.group.population.description` as `Equivalent`.
Element `Measure.group.population.criteria` is mapped to FHIR R4 element `Measure.group.population.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.population.criteria` do not cover the following types: string. The mappings for `Measure.group.population.criteria` do not cover the following types based on type expansion: value. In the case of a continuous variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information.
Element `Measure.group.stratifier` is mapped to FHIR R4 element `Measure.group.stratifier` as `Equivalent`.
Element `Measure.group.stratifier.criteria` is mapped to FHIR R4 element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.group.stratifier.criteria` do not cover the following types: string. The mappings for `Measure.group.stratifier.criteria` do not cover the following types based on type expansion: value.
Element `Measure.group.stratifier.path` is mapped to FHIR R4 element `Measure.group.stratifier.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.group.stratifier.path` is mapped to FHIR R4 element `Measure.group.stratifier` as `SourceIsNarrowerThanTarget`.
Element `Measure.supplementalData` is mapped to FHIR R4 element `Measure.supplementalData` as `Equivalent`. Note that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information.
Element `Measure.supplementalData.usage` is mapped to FHIR R4 element `Measure.supplementalData.usage` as `Equivalent`.
Element `Measure.supplementalData.criteria` is mapped to FHIR R4 element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. The mappings for `Measure.supplementalData.criteria` do not cover the following types: string. The mappings for `Measure.supplementalData.criteria` do not cover the following types based on type expansion: value.
Element `Measure.supplementalData.path` is mapped to FHIR R4 element `Measure.supplementalData.criteria` as `SourceIsBroaderThanTarget`. Element `Measure.supplementalData.path` is mapped to FHIR R4 element `Measure.supplementalData` as `SourceIsNarrowerThanTarget`.
Element `Measure.contributor` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.contributor` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.set` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.set` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.identifier` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.name` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.name` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.population.identifier` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.population.name` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.name` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.stratifier.identifier` has a context of Measure.group.stratifier based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.supplementalData.identifier` has a context of Measure.supplementalData based on following the parent source element upwards and mapping to `Measure`. Element `Measure.supplementalData.identifier` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).