Extensions for Using Data Elements from FHIR STU3 in FHIR R4 - Downloaded Version null See the Directory of published versions

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: R3MeasureElementMapToR4 - XML Representation

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="R3-Measure-element-map-to-R4"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap R3-Measure-element-map-to-R4</b></p><a name="R3-Measure-element-map-to-R4"> </a><a name="hcR3-Measure-element-map-to-R4"> </a><p>Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0</p><br/><p><b>Group 1 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="http://hl7.org/fhir/R4/measure.html">Measureversion: 4.0.1)</a></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</td><td/><td colspan="2" title="http://hl7.org/fhir/StructureDefinition/Measure|4.0.1"><b>Codes</b> from Measure</td><td/></tr><tr><td style="border-right-width: 0px">Measure.meta</td><td style="border-left-width: 0px">meta</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.meta</td><td style="border-left-width: 0px">Measure.meta</td><td>Element `Measure.meta` is mapped to FHIR R4 element `Measure.meta` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.implicitRules</td><td style="border-left-width: 0px">implicitRules</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.implicitRules</td><td style="border-left-width: 0px">Measure.implicitRules</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.language</td><td style="border-left-width: 0px">language</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.language</td><td style="border-left-width: 0px">Measure.language</td><td>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).</td></tr><tr><td style="border-right-width: 0px">Measure.text</td><td style="border-left-width: 0px">text</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.text</td><td style="border-left-width: 0px">Measure.text</td><td>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 &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later.</td></tr><tr><td style="border-right-width: 0px">Measure.contained</td><td style="border-left-width: 0px">contained</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.contained</td><td style="border-left-width: 0px">Measure.contained</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.url</td><td style="border-left-width: 0px">url</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.url</td><td style="border-left-width: 0px">Measure.url</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.identifier</td><td style="border-left-width: 0px">identifier</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.identifier</td><td style="border-left-width: 0px">Measure.identifier</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.version</td><td style="border-left-width: 0px">version</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.version</td><td style="border-left-width: 0px">Measure.version</td><td>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].</td></tr><tr><td style="border-right-width: 0px">Measure.name</td><td style="border-left-width: 0px">name</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.name</td><td style="border-left-width: 0px">Measure.name</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.title</td><td style="border-left-width: 0px">title</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.title</td><td style="border-left-width: 0px">Measure.title</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.status</td><td style="border-left-width: 0px">status</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.status</td><td style="border-left-width: 0px">Measure.status</td><td>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 &quot;Is Modifier&quot; because applications should not use a retired measure without due consideration.</td></tr><tr><td style="border-right-width: 0px">Measure.experimental</td><td style="border-left-width: 0px">experimental</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.experimental</td><td style="border-left-width: 0px">Measure.experimental</td><td>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 &quot;Is Modifier&quot; because applications should not use an experimental measure in production.</td></tr><tr><td style="border-right-width: 0px">Measure.date</td><td style="border-left-width: 0px">date</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.date</td><td style="border-left-width: 0px">Measure.date</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.publisher</td><td style="border-left-width: 0px">publisher</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.publisher</td><td style="border-left-width: 0px">Measure.publisher</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.description</td><td style="border-left-width: 0px">description</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.description</td><td style="border-left-width: 0px">Measure.description</td><td>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).</td></tr><tr><td style="border-right-width: 0px">Measure.purpose</td><td style="border-left-width: 0px">purpose</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.purpose</td><td style="border-left-width: 0px">Measure.purpose</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.usage</td><td style="border-left-width: 0px">usage</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.usage</td><td style="border-left-width: 0px">Measure.usage</td><td>Element `Measure.usage` is mapped to FHIR R4 element `Measure.usage` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.approvalDate</td><td style="border-left-width: 0px">approvalDate</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.approvalDate</td><td style="border-left-width: 0px">Measure.approvalDate</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.lastReviewDate</td><td style="border-left-width: 0px">lastReviewDate</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.lastReviewDate</td><td style="border-left-width: 0px">Measure.lastReviewDate</td><td>Element `Measure.lastReviewDate` is mapped to FHIR R4 element `Measure.lastReviewDate` as `Equivalent`.
If specified, this is usually after the approval date.</td></tr><tr><td style="border-right-width: 0px">Measure.effectivePeriod</td><td style="border-left-width: 0px">effectivePeriod</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.effectivePeriod</td><td style="border-left-width: 0px">Measure.effectivePeriod</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.useContext</td><td style="border-left-width: 0px">useContext</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.useContext</td><td style="border-left-width: 0px">Measure.useContext</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.jurisdiction</td><td style="border-left-width: 0px">jurisdiction</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.jurisdiction</td><td style="border-left-width: 0px">Measure.jurisdiction</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.topic</td><td style="border-left-width: 0px">topic</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.topic</td><td style="border-left-width: 0px">Measure.topic</td><td>Element `Measure.topic` is mapped to FHIR R4 element `Measure.topic` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.contact</td><td style="border-left-width: 0px">contact</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.contact</td><td style="border-left-width: 0px">Measure.contact</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.copyright</td><td style="border-left-width: 0px">copyright</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.copyright</td><td style="border-left-width: 0px">Measure.copyright</td><td>Element `Measure.copyright` is mapped to FHIR R4 element `Measure.copyright` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.relatedArtifact</td><td style="border-left-width: 0px">relatedArtifact</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.relatedArtifact</td><td style="border-left-width: 0px">Measure.relatedArtifact</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.library</td><td style="border-left-width: 0px">library</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.library</td><td style="border-left-width: 0px">Measure.library</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.disclaimer</td><td style="border-left-width: 0px">disclaimer</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.disclaimer</td><td style="border-left-width: 0px">Measure.disclaimer</td><td>Element `Measure.disclaimer` is mapped to FHIR R4 element `Measure.disclaimer` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.scoring</td><td style="border-left-width: 0px">scoring</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.scoring</td><td style="border-left-width: 0px">Measure.scoring</td><td>Element `Measure.scoring` is mapped to FHIR R4 element `Measure.scoring` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.compositeScoring</td><td style="border-left-width: 0px">compositeScoring</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.compositeScoring</td><td style="border-left-width: 0px">Measure.compositeScoring</td><td>Element `Measure.compositeScoring` is mapped to FHIR R4 element `Measure.compositeScoring` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.type</td><td style="border-left-width: 0px">type</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.type</td><td style="border-left-width: 0px">Measure.type</td><td>Element `Measure.type` is mapped to FHIR R4 element `Measure.type` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.riskAdjustment</td><td style="border-left-width: 0px">riskAdjustment</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.riskAdjustment</td><td style="border-left-width: 0px">Measure.riskAdjustment</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.rateAggregation</td><td style="border-left-width: 0px">rateAggregation</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.rateAggregation</td><td style="border-left-width: 0px">Measure.rateAggregation</td><td>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).</td></tr><tr><td style="border-right-width: 0px">Measure.rationale</td><td style="border-left-width: 0px">rationale</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.rationale</td><td style="border-left-width: 0px">Measure.rationale</td><td>Element `Measure.rationale` is mapped to FHIR R4 element `Measure.rationale` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.clinicalRecommendationStatement</td><td style="border-left-width: 0px">clinicalRecommendationStatement</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.clinicalRecommendationStatement</td><td style="border-left-width: 0px">Measure.clinicalRecommendationStatement</td><td>Element `Measure.clinicalRecommendationStatement` is mapped to FHIR R4 element `Measure.clinicalRecommendationStatement` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.improvementNotation</td><td style="border-left-width: 0px">improvementNotation</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.improvementNotation</td><td style="border-left-width: 0px">Measure.improvementNotation</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.definition</td><td style="border-left-width: 0px">definition</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.definition</td><td style="border-left-width: 0px">Measure.definition</td><td>Element `Measure.definition` is mapped to FHIR R4 element `Measure.definition` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.guidance</td><td style="border-left-width: 0px">guidance</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.guidance</td><td style="border-left-width: 0px">Measure.guidance</td><td>Element `Measure.guidance` is mapped to FHIR R4 element `Measure.guidance` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.group</td><td style="border-left-width: 0px">group</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.group</td><td style="border-left-width: 0px">Measure.group</td><td>Element `Measure.group` is mapped to FHIR R4 element `Measure.group` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.group.description</td><td style="border-left-width: 0px">description</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.group.description</td><td style="border-left-width: 0px">Measure.group.description</td><td>Element `Measure.group.description` is mapped to FHIR R4 element `Measure.group.description` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.group.population</td><td style="border-left-width: 0px">population</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.group.population</td><td style="border-left-width: 0px">Measure.group.population</td><td>Element `Measure.group.population` is mapped to FHIR R4 element `Measure.group.population` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.group.population.code</td><td style="border-left-width: 0px">code</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.group.population.code</td><td style="border-left-width: 0px">Measure.group.population.code</td><td>Element `Measure.group.population.code` is mapped to FHIR R4 element `Measure.group.population.code` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.group.population.description</td><td style="border-left-width: 0px">description</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.group.population.description</td><td style="border-left-width: 0px">Measure.group.population.description</td><td>Element `Measure.group.population.description` is mapped to FHIR R4 element `Measure.group.population.description` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.group.population.criteria</td><td style="border-left-width: 0px">criteria</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.group.population.criteria</td><td style="border-left-width: 0px">Measure.group.population.criteria</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.group.stratifier</td><td style="border-left-width: 0px">stratifier</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.group.stratifier</td><td style="border-left-width: 0px">Measure.group.stratifier</td><td>Element `Measure.group.stratifier` is mapped to FHIR R4 element `Measure.group.stratifier` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.group.stratifier.criteria</td><td style="border-left-width: 0px">criteria</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.group.stratifier.criteria</td><td style="border-left-width: 0px">Measure.group.stratifier.criteria</td><td>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.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">Measure.group.stratifier.path</td><td style="border-left-width: 0px; border-bottom-style: none">path</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.group.stratifier</td><td style="border-left-width: 0px">Measure.group.stratifier</td><td>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`.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Measure.group.stratifier.criteria</td><td style="border-left-width: 0px">Measure.group.stratifier.criteria</td><td>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`.</td></tr><tr><td style="border-right-width: 0px">Measure.supplementalData</td><td style="border-left-width: 0px">supplementalData</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.supplementalData</td><td style="border-left-width: 0px">Measure.supplementalData</td><td>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.</td></tr><tr><td style="border-right-width: 0px">Measure.supplementalData.usage</td><td style="border-left-width: 0px">usage</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.supplementalData.usage</td><td style="border-left-width: 0px">Measure.supplementalData.usage</td><td>Element `Measure.supplementalData.usage` is mapped to FHIR R4 element `Measure.supplementalData.usage` as `Equivalent`.</td></tr><tr><td style="border-right-width: 0px">Measure.supplementalData.criteria</td><td style="border-left-width: 0px">criteria</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider" title="wider">maps to wider concept</a></td><td style="border-right-width: 0px">Measure.supplementalData.criteria</td><td style="border-left-width: 0px">Measure.supplementalData.criteria</td><td>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.</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">Measure.supplementalData.path</td><td style="border-left-width: 0px; border-bottom-style: none">path</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Measure.supplementalData</td><td style="border-left-width: 0px">Measure.supplementalData</td><td>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`.</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Measure.supplementalData.criteria</td><td style="border-left-width: 0px">Measure.supplementalData.criteria</td><td>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`.</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.contributor.html">STU3: A content contributor (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.contributor (contributor)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: A content contributor (new))</td><td>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).</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.library.html">STU3: library additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.library (library)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: library additional types)</td><td>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.</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.improvementNotation.html">STU3: Improvement notation for the measure, e.g. higher score indicates better quality additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.improvementNotation (improvementNotation)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: Improvement notation for the measure, e.g. higher score indicates better quality additional types)</td><td>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.</td></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.set.html">STU3: The measure set, e.g. Preventive Care and Screening (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.set (set)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: The measure set, e.g. Preventive Care and Screening (new))</td><td>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).</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.gro.identifier.html">STU3: Unique identifier (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.group.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: Unique identifier (new))</td><td>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).</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.gro.name.html">STU3: Short name (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.group.name (name)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: Short name (new))</td><td>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).</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.gro.pop.identifier.html">STU3: Unique identifier (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.group.population.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: Unique identifier (new))</td><td>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).</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.gro.pop.name.html">STU3: Short name (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.group.population.name (name)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: Short name (new))</td><td>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).</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.gro.pop.criteria.html">STU3: The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.group.population.criteria (criteria)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria additional types)</td><td>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.</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.gro.str.identifier.html">STU3: The identifier for the stratifier used to coordinate the reported data back to this stratifier (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.group.stratifier.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: The identifier for the stratifier used to coordinate the reported data back to this stratifier (new))</td><td>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).</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.gro.str.criteria.html">STU3: criteria additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.group.stratifier.criteria (criteria)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: criteria additional types)</td><td>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.</td></tr></table><hr/><p><b>Group 13 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.sup.identifier.html">STU3: Identifier, unique within the measure (new)version: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.supplementalData.identifier (identifier)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: Identifier, unique within the measure (new))</td><td>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).</td></tr></table><hr/><p><b>Group 14 </b>Mapping from <code>http://hl7.org/fhir/StructureDefinition/Measure|3.0.2</code> to <a href="StructureDefinition-ext-R3-Measure.sup.criteria.html">STU3: criteria additional typesversion: 0.1.0)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Measure.supplementalData.criteria (criteria)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Extension (STU3: criteria additional types)</td><td>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.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/xver/ConceptMap/R3-Measure-element-map-to-R4"/>
  <version value="0.1.0"/>
  <name value="R3MeasureElementMapToR4"/>
  <title
         value="Cross-version mapping for FHIR STU3 Measure to FHIR R4 Measure"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T16:03:24.022345-05:00"/>
  <contact>
    <name value="FHIR Infrastructure"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <description
               value="This ConceptMap represents cross-version mappings for elements from a FHIR STU3 Measure to FHIR R4."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <sourceCanonical value="http://hl7.org/fhir/3.0"/>
  <targetUri value="http://hl7.org/fhir/4.0"/>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <targetVersion value="4.0.1"/>
    <element>
      <code value="Measure.meta"/>
      <display value="meta"/>
      <target>
        <code value="Measure.meta"/>
        <display value="Measure.meta"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.meta` is mapped to FHIR R4 element `Measure.meta` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.implicitRules"/>
      <display value="implicitRules"/>
      <target>
        <code value="Measure.implicitRules"/>
        <display value="Measure.implicitRules"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.language"/>
      <display value="language"/>
      <target>
        <code value="Measure.language"/>
        <display value="Measure.language"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
    <element>
      <code value="Measure.text"/>
      <display value="text"/>
      <target>
        <code value="Measure.text"/>
        <display value="Measure.text"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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 &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      </target>
    </element>
    <element>
      <code value="Measure.contained"/>
      <display value="contained"/>
      <target>
        <code value="Measure.contained"/>
        <display value="Measure.contained"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.url"/>
      <display value="url"/>
      <target>
        <code value="Measure.url"/>
        <display value="Measure.url"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.identifier"/>
      <display value="identifier"/>
      <target>
        <code value="Measure.identifier"/>
        <display value="Measure.identifier"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.version"/>
      <display value="version"/>
      <target>
        <code value="Measure.version"/>
        <display value="Measure.version"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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]."/>
      </target>
    </element>
    <element>
      <code value="Measure.name"/>
      <display value="name"/>
      <target>
        <code value="Measure.name"/>
        <display value="Measure.name"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.title"/>
      <display value="title"/>
      <target>
        <code value="Measure.title"/>
        <display value="Measure.title"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.status"/>
      <display value="status"/>
      <target>
        <code value="Measure.status"/>
        <display value="Measure.status"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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 &quot;Is Modifier&quot; because applications should not use a retired measure without due consideration."/>
      </target>
    </element>
    <element>
      <code value="Measure.experimental"/>
      <display value="experimental"/>
      <target>
        <code value="Measure.experimental"/>
        <display value="Measure.experimental"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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 &quot;Is Modifier&quot; because applications should not use an experimental measure in production."/>
      </target>
    </element>
    <element>
      <code value="Measure.date"/>
      <display value="date"/>
      <target>
        <code value="Measure.date"/>
        <display value="Measure.date"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.publisher"/>
      <display value="publisher"/>
      <target>
        <code value="Measure.publisher"/>
        <display value="Measure.publisher"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.description"/>
      <display value="description"/>
      <target>
        <code value="Measure.description"/>
        <display value="Measure.description"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
    <element>
      <code value="Measure.purpose"/>
      <display value="purpose"/>
      <target>
        <code value="Measure.purpose"/>
        <display value="Measure.purpose"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.usage"/>
      <display value="usage"/>
      <target>
        <code value="Measure.usage"/>
        <display value="Measure.usage"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.usage` is mapped to FHIR R4 element `Measure.usage` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.approvalDate"/>
      <display value="approvalDate"/>
      <target>
        <code value="Measure.approvalDate"/>
        <display value="Measure.approvalDate"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.lastReviewDate"/>
      <display value="lastReviewDate"/>
      <target>
        <code value="Measure.lastReviewDate"/>
        <display value="Measure.lastReviewDate"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.lastReviewDate` is mapped to FHIR R4 element `Measure.lastReviewDate` as `Equivalent`.
If specified, this is usually after the approval date."/>
      </target>
    </element>
    <element>
      <code value="Measure.effectivePeriod"/>
      <display value="effectivePeriod"/>
      <target>
        <code value="Measure.effectivePeriod"/>
        <display value="Measure.effectivePeriod"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.useContext"/>
      <display value="useContext"/>
      <target>
        <code value="Measure.useContext"/>
        <display value="Measure.useContext"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.jurisdiction"/>
      <display value="jurisdiction"/>
      <target>
        <code value="Measure.jurisdiction"/>
        <display value="Measure.jurisdiction"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.topic"/>
      <display value="topic"/>
      <target>
        <code value="Measure.topic"/>
        <display value="Measure.topic"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.topic` is mapped to FHIR R4 element `Measure.topic` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.contact"/>
      <display value="contact"/>
      <target>
        <code value="Measure.contact"/>
        <display value="Measure.contact"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.copyright"/>
      <display value="copyright"/>
      <target>
        <code value="Measure.copyright"/>
        <display value="Measure.copyright"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.copyright` is mapped to FHIR R4 element `Measure.copyright` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.relatedArtifact"/>
      <display value="relatedArtifact"/>
      <target>
        <code value="Measure.relatedArtifact"/>
        <display value="Measure.relatedArtifact"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.library"/>
      <display value="library"/>
      <target>
        <code value="Measure.library"/>
        <display value="Measure.library"/>
        <equivalence value="wider"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.disclaimer"/>
      <display value="disclaimer"/>
      <target>
        <code value="Measure.disclaimer"/>
        <display value="Measure.disclaimer"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.disclaimer` is mapped to FHIR R4 element `Measure.disclaimer` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.scoring"/>
      <display value="scoring"/>
      <target>
        <code value="Measure.scoring"/>
        <display value="Measure.scoring"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.scoring` is mapped to FHIR R4 element `Measure.scoring` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.compositeScoring"/>
      <display value="compositeScoring"/>
      <target>
        <code value="Measure.compositeScoring"/>
        <display value="Measure.compositeScoring"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.compositeScoring` is mapped to FHIR R4 element `Measure.compositeScoring` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.type"/>
      <display value="type"/>
      <target>
        <code value="Measure.type"/>
        <display value="Measure.type"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.type` is mapped to FHIR R4 element `Measure.type` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.riskAdjustment"/>
      <display value="riskAdjustment"/>
      <target>
        <code value="Measure.riskAdjustment"/>
        <display value="Measure.riskAdjustment"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.rateAggregation"/>
      <display value="rateAggregation"/>
      <target>
        <code value="Measure.rateAggregation"/>
        <display value="Measure.rateAggregation"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
    <element>
      <code value="Measure.rationale"/>
      <display value="rationale"/>
      <target>
        <code value="Measure.rationale"/>
        <display value="Measure.rationale"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.rationale` is mapped to FHIR R4 element `Measure.rationale` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.clinicalRecommendationStatement"/>
      <display value="clinicalRecommendationStatement"/>
      <target>
        <code value="Measure.clinicalRecommendationStatement"/>
        <display value="Measure.clinicalRecommendationStatement"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.clinicalRecommendationStatement` is mapped to FHIR R4 element `Measure.clinicalRecommendationStatement` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.improvementNotation"/>
      <display value="improvementNotation"/>
      <target>
        <code value="Measure.improvementNotation"/>
        <display value="Measure.improvementNotation"/>
        <equivalence value="wider"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.definition"/>
      <display value="definition"/>
      <target>
        <code value="Measure.definition"/>
        <display value="Measure.definition"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.definition` is mapped to FHIR R4 element `Measure.definition` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.guidance"/>
      <display value="guidance"/>
      <target>
        <code value="Measure.guidance"/>
        <display value="Measure.guidance"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.guidance` is mapped to FHIR R4 element `Measure.guidance` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.group"/>
      <display value="group"/>
      <target>
        <code value="Measure.group"/>
        <display value="Measure.group"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Measure.group` is mapped to FHIR R4 element `Measure.group` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.group.description"/>
      <display value="description"/>
      <target>
        <code value="Measure.group.description"/>
        <display value="Measure.group.description"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.group.description` is mapped to FHIR R4 element `Measure.group.description` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.group.population"/>
      <display value="population"/>
      <target>
        <code value="Measure.group.population"/>
        <display value="Measure.group.population"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Measure.group.population` is mapped to FHIR R4 element `Measure.group.population` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.group.population.code"/>
      <display value="code"/>
      <target>
        <code value="Measure.group.population.code"/>
        <display value="Measure.group.population.code"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.group.population.code` is mapped to FHIR R4 element `Measure.group.population.code` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.group.population.description"/>
      <display value="description"/>
      <target>
        <code value="Measure.group.population.description"/>
        <display value="Measure.group.population.description"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.group.population.description` is mapped to FHIR R4 element `Measure.group.population.description` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.group.population.criteria"/>
      <display value="criteria"/>
      <target>
        <code value="Measure.group.population.criteria"/>
        <display value="Measure.group.population.criteria"/>
        <equivalence value="wider"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.group.stratifier"/>
      <display value="stratifier"/>
      <target>
        <code value="Measure.group.stratifier"/>
        <display value="Measure.group.stratifier"/>
        <equivalence value="wider"/>
        <comment
                 value="Element `Measure.group.stratifier` is mapped to FHIR R4 element `Measure.group.stratifier` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.group.stratifier.criteria"/>
      <display value="criteria"/>
      <target>
        <code value="Measure.group.stratifier.criteria"/>
        <display value="Measure.group.stratifier.criteria"/>
        <equivalence value="wider"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.group.stratifier.path"/>
      <display value="path"/>
      <target>
        <code value="Measure.group.stratifier"/>
        <display value="Measure.group.stratifier"/>
        <equivalence value="equivalent"/>
        <comment
                 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`."/>
      </target>
      <target>
        <code value="Measure.group.stratifier.criteria"/>
        <display value="Measure.group.stratifier.criteria"/>
        <equivalence value="relatedto"/>
        <comment
                 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`."/>
      </target>
    </element>
    <element>
      <code value="Measure.supplementalData"/>
      <display value="supplementalData"/>
      <target>
        <code value="Measure.supplementalData"/>
        <display value="Measure.supplementalData"/>
        <equivalence value="wider"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.supplementalData.usage"/>
      <display value="usage"/>
      <target>
        <code value="Measure.supplementalData.usage"/>
        <display value="Measure.supplementalData.usage"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Element `Measure.supplementalData.usage` is mapped to FHIR R4 element `Measure.supplementalData.usage` as `Equivalent`."/>
      </target>
    </element>
    <element>
      <code value="Measure.supplementalData.criteria"/>
      <display value="criteria"/>
      <target>
        <code value="Measure.supplementalData.criteria"/>
        <display value="Measure.supplementalData.criteria"/>
        <equivalence value="wider"/>
        <comment
                 value="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."/>
      </target>
    </element>
    <element>
      <code value="Measure.supplementalData.path"/>
      <display value="path"/>
      <target>
        <code value="Measure.supplementalData"/>
        <display value="Measure.supplementalData"/>
        <equivalence value="equivalent"/>
        <comment
                 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`."/>
      </target>
      <target>
        <code value="Measure.supplementalData.criteria"/>
        <display value="Measure.supplementalData.criteria"/>
        <equivalence value="relatedto"/>
        <comment
                 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`."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.contributor"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.contributor"/>
      <display value="contributor"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.library"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.library"/>
      <display value="library"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.improvementNotation"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.improvementNotation"/>
      <display value="improvementNotation"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.set"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.set"/>
      <display value="set"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.identifier"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.group.identifier"/>
      <display value="identifier"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.name"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.group.name"/>
      <display value="name"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.identifier"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.group.population.identifier"/>
      <display value="identifier"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.name"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.group.population.name"/>
      <display value="name"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.population.criteria"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.group.population.criteria"/>
      <display value="criteria"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.stratifier.identifier"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.group.stratifier.identifier"/>
      <display value="identifier"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.group.stratifier.criteria"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.group.stratifier.criteria"/>
      <display value="criteria"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.supplementalData.identifier"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.supplementalData.identifier"/>
      <display value="identifier"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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)."/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>
    <sourceVersion value="3.0.2"/>
    <target
            value="http://hl7.org/fhir/3.0/StructureDefinition/extension-Measure.supplementalData.criteria"/>
    <targetVersion value="0.1.0"/>
    <element>
      <code value="Measure.supplementalData.criteria"/>
      <display value="criteria"/>
      <target>
        <code value="Extension"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
      </target>
    </element>
  </group>
</ConceptMap>