Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4
0.1.0 - STU
Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 0 |
Definitions for the profile-MeasureReport resource profile.
Guidance on how to interpret the contents of this table can be foundhere
| 0. MeasureReport | |
| Definition | The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. |
| Short | Results of a measure evaluation |
| Control | 0..* |
| Is Modifier | false |
| Summary | false |
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information ( (type != 'data-collection') or group.exists().not())mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components ( group.stratifier.stratum.all(value.exists() xor component.exists()))dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information ((type != 'data-collection') or group.exists().not()) mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components (group.stratifier.stratum.all(value.exists() xor component.exists())) |
| 2. MeasureReport.implicitRules | |
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
| Short | A set of rules under which this content was created |
| Comments | 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
| Control | 0..1 |
| Type | uri |
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 4. MeasureReport.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Short | ExtensionAdditional content defined by implementations |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | false |
| Summary | false |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MeasureReport.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 6. MeasureReport.extension:reportingVendor | |
| Slice Name | reportingVendor |
| Definition | R5: |
| Short | R5: What vendor prepared the data (new) |
| Comments | Element |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(R5: What vendor prepared the data (new)) (Extension Type: Reference(Cross-version Profile for R5.Organization for use in FHIR R4, Organization)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 8. MeasureReport.extension:location | |
| Slice Name | location |
| Definition | R5: |
| Short | R5: Where the reported data is from (new) |
| Comments | Element |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(R5: Where the reported data is from (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4, Location)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 10. MeasureReport.extension:inputParameters | |
| Slice Name | inputParameters |
| Definition | R5: |
| Short | R5: What parameters were provided to the report (new) |
| Comments | Element |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(R5: What parameters were provided to the report (new)) (Extension Type: Reference(Cross-version Profile for R5.Parameters for use in FHIR R4, Parameters)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 12. MeasureReport.extension:supplementalData | |
| Slice Name | supplementalData |
| Definition | R5: |
| Short | R5: Additional information collected for the report (new) |
| Comments | Element |
| Control | 0..* This element is affected by the following invariants: ele-1 |
| Type | Extension(R5: Additional information collected for the report (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource)) |
| Is Modifier | false |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 14. MeasureReport.modifierExtension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
| Short | ExtensionExtensions that cannot be ignored |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Control | 0..* |
| Type | Extension |
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
| Summary | false |
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
| Alternate Names | extensions, user content |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on MeasureReport.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 16. MeasureReport.modifierExtension:dataUpdateType | |
| Slice Name | dataUpdateType |
| Definition | R5: |
| Short | R5: incremental | snapshot (new) |
| Comments | Element |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(R5: incremental | snapshot (new)) (Extension Type: code) |
| Is Modifier | true because This element determines whether the data in a data-exchange measure report is a snapshot or incremental update and is required in order to correctly apply the data update to a receiving system |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 18. MeasureReport.modifierExtension:scoring | |
| Slice Name | scoring |
| Definition | R5: |
| Short | R5: What scoring method (e.g. proportion, ratio, continuous-variable) (new) |
| Comments | Element |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | Extension(R5: What scoring method (e.g. proportion, ratio, continuous-variable) (new)) (Extension Type: CodeableConcept) |
| Is Modifier | true because Scoring determines what method was used to calculate the measure score and is required for correct interpretation of the score |
| Summary | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
| 20. MeasureReport.status | |
| Definition | The MeasureReport status. No data will be available until the MeasureReport status is complete. |
| Short | complete | pending | error |
| Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
| Control | 1..1 |
| Binding | The codes SHALL be taken from MeasureReportStatushttp://hl7.org/fhir/ValueSet/measure-report-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1)The status of the measure report. |
| Type | code |
| Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 22. MeasureReport.type | |
| Definition | The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure. |
| Short | individual | subject-list | summary | data-collection |
| Comments | Data-collection reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may. |
| Control | 1..1 This element is affected by the following invariants: mrp-1 |
| Binding | The codes SHALL be taken from MeasureReportTypehttp://hl7.org/fhir/ValueSet/measure-report-type|4.0.1 (required to http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1)The type of the measure report. |
| Type | code |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 24. MeasureReport.measure | |
| Definition | A reference to the Measure that was calculated to produce this report. |
| Short | What measure was calculated |
| Control | 1..1 |
| Type | canonical(Measure) |
| Is Modifier | false |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 26. MeasureReport.period | |
| Definition | The reporting period for which the report was calculated. |
| Short | What period the report covers |
| Control | 1..1 |
| Type | Period |
| Is Modifier | false |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 28. MeasureReport.improvementNotation | |
| Definition | Whether improvement in the measure is noted by an increase or decrease in the measure score. |
| Short | increase | decrease |
| Comments | This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 (required to http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1)Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
| Type | CodeableConcept |
| Is Modifier | true because Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement) |
| Summary | true |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. MeasureReport | |
| 2. MeasureReport.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 4. MeasureReport.extension:reportingVendor | |
| Slice Name | reportingVendor |
| Definition | R5: |
| Short | R5: What vendor prepared the data (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: What vendor prepared the data (new)) (Extension Type: Reference(Cross-version Profile for R5.Organization for use in FHIR R4, Organization)) |
| 6. MeasureReport.extension:location | |
| Slice Name | location |
| Definition | R5: |
| Short | R5: Where the reported data is from (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: Where the reported data is from (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4, Location)) |
| 8. MeasureReport.extension:inputParameters | |
| Slice Name | inputParameters |
| Definition | R5: |
| Short | R5: What parameters were provided to the report (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: What parameters were provided to the report (new)) (Extension Type: Reference(Cross-version Profile for R5.Parameters for use in FHIR R4, Parameters)) |
| 10. MeasureReport.extension:supplementalData | |
| Slice Name | supplementalData |
| Definition | R5: |
| Short | R5: Additional information collected for the report (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(R5: Additional information collected for the report (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource)) |
| 12. MeasureReport.modifierExtension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 14. MeasureReport.modifierExtension:dataUpdateType | |
| Slice Name | dataUpdateType |
| Definition | R5: |
| Short | R5: incremental | snapshot (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: incremental | snapshot (new)) (Extension Type: code) |
| 16. MeasureReport.modifierExtension:scoring | |
| Slice Name | scoring |
| Definition | R5: |
| Short | R5: What scoring method (e.g. proportion, ratio, continuous-variable) (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: What scoring method (e.g. proportion, ratio, continuous-variable) (new)) (Extension Type: CodeableConcept) |
| 18. MeasureReport.subject | |
| 20. MeasureReport.subject.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 22. MeasureReport.subject.extension:subject | |
| Slice Name | subject |
| Definition | R5: |
| Short | R5: subject |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| 24. MeasureReport.reporter | |
| 26. MeasureReport.reporter.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.reporter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 28. MeasureReport.reporter.extension:reporter | |
| Slice Name | reporter |
| Definition | R5: |
| Short | R5: reporter |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) |
| 30. MeasureReport.group | |
| 32. MeasureReport.group.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 34. MeasureReport.group.extension:linkId | |
| Slice Name | linkId |
| Definition | R5: |
| Short | R5: Pointer to specific group from Measure (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: Pointer to specific group from Measure (new)) (Extension Type: string) |
| 36. MeasureReport.group.extension:subject | |
| Slice Name | subject |
| Definition | R5: |
| Short | R5: What individual(s) the report is for (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: What individual(s) the report is for (new)) (Extension Type: Reference(Cross-version Profile for R5.CareTeam for use in FHIR R4, CareTeam, Cross-version Profile for R5.Device for use in FHIR R4, Device, Cross-version Profile for R5.Group for use in FHIR R4, Group, Cross-version Profile for R5.HealthcareService for use in FHIR R4, HealthcareService, Cross-version Profile for R5.Location for use in FHIR R4, Location, Cross-version Profile for R5.Organization for use in FHIR R4, Organization, Cross-version Profile for R5.Patient for use in FHIR R4, Patient, Cross-version Profile for R5.Practitioner for use in FHIR R4, Practitioner, Cross-version Profile for R5.PractitionerRole for use in FHIR R4, PractitionerRole, Cross-version Profile for R5.RelatedPerson for use in FHIR R4, RelatedPerson)) |
| 38. MeasureReport.group.population | |
| 40. MeasureReport.group.population.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.population.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 42. MeasureReport.group.population.extension:linkId | |
| Slice Name | linkId |
| Definition | R5: |
| Short | R5: Pointer to specific population from Measure (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: Pointer to specific population from Measure (new)) (Extension Type: string) |
| 44. MeasureReport.group.population.extension:subjectReport | |
| Slice Name | subjectReport |
| Definition | R5: |
| Short | R5: For subject-list reports, a subject result in this population (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(R5: For subject-list reports, a subject result in this population (new)) (Extension Type: Reference(Cross-version Profile for R5.MeasureReport for use in FHIR R4, MeasureReport)) |
| 46. MeasureReport.group.population.extension:subjects | |
| Slice Name | subjects |
| Definition | R5: |
| Short | R5: What individual(s) in the population (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: What individual(s) in the population (new)) (Extension Type: Reference(Cross-version Profile for R5.Group for use in FHIR R4, Group)) |
| 48. MeasureReport.group.measureScore | |
| 50. MeasureReport.group.measureScore.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.measureScore.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 52. MeasureReport.group.measureScore.extension:measureScore | |
| Slice Name | measureScore |
| Definition | R5: |
| Short | R5: measureScore additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: measureScore additional types) (Extension Type: Choice of: dateTime, CodeableConcept, Period, Range) |
| 54. MeasureReport.group.stratifier | |
| 56. MeasureReport.group.stratifier.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 58. MeasureReport.group.stratifier.extension:linkId | |
| Slice Name | linkId |
| Definition | R5: |
| Short | R5: Pointer to specific stratifier from Measure (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: Pointer to specific stratifier from Measure (new)) (Extension Type: string) |
| 60. MeasureReport.group.stratifier.stratum | |
| 62. MeasureReport.group.stratifier.stratum.value | |
| 64. MeasureReport.group.stratifier.stratum.value.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.value.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 66. MeasureReport.group.stratifier.stratum.value.extension:value | |
| Slice Name | value |
| Definition | R5: |
| Short | R5: value additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: value additional types) (Extension Type: Choice of: boolean, Quantity, Range, Reference) |
| 68. MeasureReport.group.stratifier.stratum.component | |
| 70. MeasureReport.group.stratifier.stratum.component.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 72. MeasureReport.group.stratifier.stratum.component.extension:linkId | |
| Slice Name | linkId |
| Definition | R5: |
| Short | R5: Pointer to specific stratifier component from Measure (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: Pointer to specific stratifier component from Measure (new)) (Extension Type: string) |
| 74. MeasureReport.group.stratifier.stratum.component.value | |
| 76. MeasureReport.group.stratifier.stratum.component.value.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.component.value.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 78. MeasureReport.group.stratifier.stratum.component.value.extension:value | |
| Slice Name | value |
| Definition | R5: |
| Short | R5: value additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: value additional types) (Extension Type: Choice of: boolean, Quantity, Range, Reference) |
| 80. MeasureReport.group.stratifier.stratum.population | |
| 82. MeasureReport.group.stratifier.stratum.population.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.population.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 84. MeasureReport.group.stratifier.stratum.population.extension:linkId | |
| Slice Name | linkId |
| Definition | R5: |
| Short | R5: Pointer to specific population from Measure (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: Pointer to specific population from Measure (new)) (Extension Type: string) |
| 86. MeasureReport.group.stratifier.stratum.population.extension:subjectReport | |
| Slice Name | subjectReport |
| Definition | R5: |
| Short | R5: For subject-list reports, a subject result in this population (new) |
| Comments | Element |
| Control | 0..* |
| Type | Extension(R5: For subject-list reports, a subject result in this population (new)) (Extension Type: Reference(Cross-version Profile for R5.MeasureReport for use in FHIR R4, MeasureReport)) |
| 88. MeasureReport.group.stratifier.stratum.population.extension:subjects | |
| Slice Name | subjects |
| Definition | R5: |
| Short | R5: What individual(s) in the population (new) |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: What individual(s) in the population (new)) (Extension Type: Reference(Cross-version Profile for R5.Group for use in FHIR R4, Group)) |
| 90. MeasureReport.group.stratifier.stratum.measureScore | |
| 92. MeasureReport.group.stratifier.stratum.measureScore.extension | |
| Control | 0..* |
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.measureScore.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: |
| 94. MeasureReport.group.stratifier.stratum.measureScore.extension:measureScore | |
| Slice Name | measureScore |
| Definition | R5: |
| Short | R5: measureScore additional types |
| Comments | Element |
| Control | 0..1 |
| Type | Extension(R5: measureScore additional types) (Extension Type: Choice of: dateTime, CodeableConcept, Period, Range) |
Guidance on how to interpret the contents of this table can be foundhere
| 0. MeasureReport | |||||
| Definition | The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation. | ||||
| Short | Results of a measure evaluation | ||||
| Control | 0..* | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists())mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information ( (type != 'data-collection') or group.exists().not())mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components ( group.stratifier.stratum.all(value.exists() xor component.exists())) | ||||
| 2. MeasureReport.id | |||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
| Short | Logical id of this artifact | ||||
| Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
| Control | 0..1 | ||||
| Type | id | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| 4. MeasureReport.meta | |||||
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
| Short | Metadata about the resource | ||||
| Control | 0..1 | ||||
| Type | Meta | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 6. MeasureReport.implicitRules | |||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
| Short | A set of rules under which this content was created | ||||
| Comments | 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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | ||||
| Control | 0..1 | ||||
| Type | uri | ||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 8. MeasureReport.language | |||||
| Definition | The base language in which the resource is written. | ||||
| Short | Language of the resource content | ||||
| Comments | 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). | ||||
| Control | 0..1 | ||||
| Binding | The codes SHOULD be taken from CommonLanguages  (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 10. MeasureReport.text | |||||
| Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
| Short | Text summary of the resource, for human interpretation | ||||
| Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
| Control | 0..1 | ||||
| Type | Narrative | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | narrative, html, xhtml, display | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 12. MeasureReport.contained | |||||
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
| Short | Contained, inline Resources | ||||
| Comments | 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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
| Control | 0..* | ||||
| Type | Resource | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | inline resources, anonymous resources, contained resources | ||||
| 14. MeasureReport.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 16. MeasureReport.extension:reportingVendor | |||||
| Slice Name | reportingVendor | ||||
| Definition | R5: | ||||
| Short | R5: What vendor prepared the data (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: What vendor prepared the data (new)) (Extension Type: Reference(Cross-version Profile for R5.Organization for use in FHIR R4, Organization)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 18. MeasureReport.extension:location | |||||
| Slice Name | location | ||||
| Definition | R5: | ||||
| Short | R5: Where the reported data is from (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: Where the reported data is from (new)) (Extension Type: Reference(Cross-version Profile for R5.Location for use in FHIR R4, Location)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 20. MeasureReport.extension:inputParameters | |||||
| Slice Name | inputParameters | ||||
| Definition | R5: | ||||
| Short | R5: What parameters were provided to the report (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: What parameters were provided to the report (new)) (Extension Type: Reference(Cross-version Profile for R5.Parameters for use in FHIR R4, Parameters)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 22. MeasureReport.extension:supplementalData | |||||
| Slice Name | supplementalData | ||||
| Definition | R5: | ||||
| Short | R5: Additional information collected for the report (new) | ||||
| Comments | Element | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: Additional information collected for the report (new)) (Extension Type: Reference(Cross-version Profile for R5.Resource for use in FHIR R4, Resource)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 24. MeasureReport.modifierExtension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 26. MeasureReport.modifierExtension:dataUpdateType | |||||
| Slice Name | dataUpdateType | ||||
| Definition | R5: | ||||
| Short | R5: incremental | snapshot (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: incremental | snapshot (new)) (Extension Type: code) | ||||
| Is Modifier | true because This element determines whether the data in a data-exchange measure report is a snapshot or incremental update and is required in order to correctly apply the data update to a receiving system | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 28. MeasureReport.modifierExtension:scoring | |||||
| Slice Name | scoring | ||||
| Definition | R5: | ||||
| Short | R5: What scoring method (e.g. proportion, ratio, continuous-variable) (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: What scoring method (e.g. proportion, ratio, continuous-variable) (new)) (Extension Type: CodeableConcept) | ||||
| Is Modifier | true because Scoring determines what method was used to calculate the measure score and is required for correct interpretation of the score | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 30. MeasureReport.identifier | |||||
| Definition | A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance. | ||||
| Short | Additional identifier for the MeasureReport | ||||
| Comments | Typically, this is used for identifiers that can go in an HL7 V3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use. | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..* | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows externally provided and/or usable business identifiers to be easily associated with the module. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 32. MeasureReport.status | |||||
| Definition | The MeasureReport status. No data will be available until the MeasureReport status is complete. | ||||
| Short | complete | pending | error | ||||
| Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
| Control | 1..1 | ||||
| Binding | The codes SHALL be taken from MeasureReportStatus (required to http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1)The status of the measure report. | ||||
| Type | code | ||||
| Is Modifier | true because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 34. MeasureReport.type | |||||
| Definition | The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure. | ||||
| Short | individual | subject-list | summary | data-collection | ||||
| Comments | Data-collection reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may. | ||||
| Control | 1..1 This element is affected by the following invariants: mrp-1 | ||||
| Binding | The codes SHALL be taken from MeasureReportType (required to http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1)The type of the measure report. | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 36. MeasureReport.measure | |||||
| Definition | A reference to the Measure that was calculated to produce this report. | ||||
| Short | What measure was calculated | ||||
| Control | 1..1 | ||||
| Type | canonical(Measure) | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 38. MeasureReport.subject | |||||
| Definition | Optional subject identifying the individual or individuals the report is for. | ||||
| Short | What individual(s) the report is for | ||||
| Control | 0..1 | ||||
| Type | Reference(Patient, Practitioner, PractitionerRole, Location, Device, RelatedPerson, Group) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 40. MeasureReport.subject.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 42. MeasureReport.subject.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.subject.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 44. MeasureReport.subject.extension:subject | |||||
| Slice Name | subject | ||||
| Definition | R5: | ||||
| Short | R5: subject | ||||
| Comments | Element | ||||
| Control | 0..1 | ||||
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 46. MeasureReport.subject.reference | |||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
| Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 48. MeasureReport.subject.type | |||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 50. MeasureReport.subject.identifier | |||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 52. MeasureReport.subject.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 54. MeasureReport.date | |||||
| Definition | The date this measure report was generated. | ||||
| Short | When the report was generated | ||||
| Control | 0..1 | ||||
| Type | dateTime | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 56. MeasureReport.reporter | |||||
| Definition | The individual, location, or organization that is reporting the data. | ||||
| Short | Who is reporting the data | ||||
| Control | 0..1 | ||||
| Type | Reference(Practitioner, PractitionerRole, Location, Organization) | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 58. MeasureReport.reporter.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 60. MeasureReport.reporter.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.reporter.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 62. MeasureReport.reporter.extension:reporter | |||||
| Slice Name | reporter | ||||
| Definition | R5: | ||||
| Short | R5: reporter | ||||
| Comments | Element | ||||
| Control | 0..1 | ||||
| Type | Extension(Alternate Reference) (Extension Type: Reference(Resource)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 64. MeasureReport.reporter.reference | |||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
| Short | Literal reference, Relative, internal or absolute URL | ||||
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
| Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 66. MeasureReport.reporter.type | |||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
| Short | Type the reference refers to (e.g. "Patient") | ||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 68. MeasureReport.reporter.identifier | |||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
| Short | Logical reference, when literal reference is not known | ||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
| Note | This is a business identifier, not a resource identifier (see discussion) | ||||
| Control | 0..1 | ||||
| Type | Identifier | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 70. MeasureReport.reporter.display | |||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
| Short | Text alternative for the resource | ||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 72. MeasureReport.period | |||||
| Definition | The reporting period for which the report was calculated. | ||||
| Short | What period the report covers | ||||
| Control | 1..1 | ||||
| Type | Period | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 74. MeasureReport.improvementNotation | |||||
| Definition | Whether improvement in the measure is noted by an increase or decrease in the measure score. | ||||
| Short | increase | decrease | ||||
| Comments | This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score. | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from MeasureImprovementNotation (required to http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1)Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
| Type | CodeableConcept | ||||
| Is Modifier | true because Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement) | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 76. MeasureReport.group | |||||
| Definition | The results of the calculation, one for each population group in the measure. | ||||
| Short | Measure results for each group | ||||
| Control | 0..* This element is affected by the following invariants: mrp-1 | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 78. MeasureReport.group.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 80. MeasureReport.group.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 82. MeasureReport.group.extension:linkId | |||||
| Slice Name | linkId | ||||
| Definition | R5: | ||||
| Short | R5: Pointer to specific group from Measure (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: Pointer to specific group from Measure (new)) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 84. MeasureReport.group.extension:subject | |||||
| Slice Name | subject | ||||
| Definition | R5: | ||||
| Short | R5: What individual(s) the report is for (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: What individual(s) the report is for (new)) (Extension Type: Reference(Cross-version Profile for R5.CareTeam for use in FHIR R4, CareTeam, Cross-version Profile for R5.Device for use in FHIR R4, Device, Cross-version Profile for R5.Group for use in FHIR R4, Group, Cross-version Profile for R5.HealthcareService for use in FHIR R4, HealthcareService, Cross-version Profile for R5.Location for use in FHIR R4, Location, Cross-version Profile for R5.Organization for use in FHIR R4, Organization, Cross-version Profile for R5.Patient for use in FHIR R4, Patient, Cross-version Profile for R5.Practitioner for use in FHIR R4, Practitioner, Cross-version Profile for R5.PractitionerRole for use in FHIR R4, PractitionerRole, Cross-version Profile for R5.RelatedPerson for use in FHIR R4, RelatedPerson)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 86. MeasureReport.group.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 88. MeasureReport.group.code | |||||
| Definition | The meaning of the population group as defined in the measure definition. | ||||
| Short | Meaning of the group | ||||
| Control | 0..1 | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 90. MeasureReport.group.population | |||||
| Definition | The populations that make up the population group, one for each type of population appropriate for the measure. | ||||
| Short | The populations in the group | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 92. MeasureReport.group.population.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 94. MeasureReport.group.population.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.population.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 96. MeasureReport.group.population.extension:linkId | |||||
| Slice Name | linkId | ||||
| Definition | R5: | ||||
| Short | R5: Pointer to specific population from Measure (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: Pointer to specific population from Measure (new)) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 98. MeasureReport.group.population.extension:subjectReport | |||||
| Slice Name | subjectReport | ||||
| Definition | R5: | ||||
| Short | R5: For subject-list reports, a subject result in this population (new) | ||||
| Comments | Element | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: For subject-list reports, a subject result in this population (new)) (Extension Type: Reference(Cross-version Profile for R5.MeasureReport for use in FHIR R4, MeasureReport)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 100. MeasureReport.group.population.extension:subjects | |||||
| Slice Name | subjects | ||||
| Definition | R5: | ||||
| Short | R5: What individual(s) in the population (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: What individual(s) in the population (new)) (Extension Type: Reference(Cross-version Profile for R5.Group for use in FHIR R4, Group)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 102. MeasureReport.group.population.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 104. MeasureReport.group.population.code | |||||
| Definition | The type of the population. | ||||
| Short | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from MeasurePopulationType (extensible to http://hl7.org/fhir/ValueSet/measure-population|4.0.1)The type of population (e.g. initial, numerator, denominator, etc.). | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 106. MeasureReport.group.population.count | |||||
| Definition | The number of members of the population. | ||||
| Short | Size of the population | ||||
| Control | 0..1 | ||||
| Type | integer | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 108. MeasureReport.group.population.subjectResults | |||||
| Definition | This element refers to a List of subject level MeasureReport resources, one for each subject in this population. | ||||
| Short | For subject-list reports, the subject results in this population | ||||
| Control | 0..1 | ||||
| Type | Reference(List) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 110. MeasureReport.group.measureScore | |||||
| Definition | The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group. | ||||
| Short | What score this group achieved | ||||
| Control | 0..1 | ||||
| Type | Quantity | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 112. MeasureReport.group.measureScore.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 114. MeasureReport.group.measureScore.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.measureScore.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 116. MeasureReport.group.measureScore.extension:measureScore | |||||
| Slice Name | measureScore | ||||
| Definition | R5: | ||||
| Short | R5: measureScore additional types | ||||
| Comments | Element | ||||
| Control | 0..1 | ||||
| Type | Extension(R5: measureScore additional types) (Extension Type: Choice of: dateTime, CodeableConcept, Period, Range) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 118. MeasureReport.group.measureScore.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Numerical value (with implicit precision) | ||||
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 120. MeasureReport.group.measureScore.comparator | |||||
| Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 122. MeasureReport.group.measureScore.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 124. MeasureReport.group.measureScore.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | System that defines coded unit form | ||||
| Control | 0..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 126. MeasureReport.group.measureScore.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Coded form of the unit | ||||
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
| Control | 0..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 128. MeasureReport.group.stratifier | |||||
| Definition | When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure. | ||||
| Short | Stratification results | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 130. MeasureReport.group.stratifier.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 132. MeasureReport.group.stratifier.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 134. MeasureReport.group.stratifier.extension:linkId | |||||
| Slice Name | linkId | ||||
| Definition | R5: | ||||
| Short | R5: Pointer to specific stratifier from Measure (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: Pointer to specific stratifier from Measure (new)) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 136. MeasureReport.group.stratifier.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 138. MeasureReport.group.stratifier.code | |||||
| Definition | The meaning of this stratifier, as defined in the measure definition. | ||||
| Short | What stratifier of the group | ||||
| Control | 0..* | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 140. MeasureReport.group.stratifier.stratum | |||||
| Definition | This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value. | ||||
| Short | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 142. MeasureReport.group.stratifier.stratum.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 144. MeasureReport.group.stratifier.stratum.extension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
| Short | Additional content defined by implementations | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Alternate Names | extensions, user content | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 146. MeasureReport.group.stratifier.stratum.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 148. MeasureReport.group.stratifier.stratum.value | |||||
| Definition | The value for this stratum, expressed as a CodeableConcept. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique. | ||||
| Short | The stratum value, e.g. male | ||||
| Control | 0..1 | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 150. MeasureReport.group.stratifier.stratum.value.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 152. MeasureReport.group.stratifier.stratum.value.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.value.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 154. MeasureReport.group.stratifier.stratum.value.extension:value | |||||
| Slice Name | value | ||||
| Definition | R5: | ||||
| Short | R5: value additional types | ||||
| Comments | Element | ||||
| Control | 0..1 | ||||
| Type | Extension(R5: value additional types) (Extension Type: Choice of: boolean, Quantity, Range, Reference) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 156. MeasureReport.group.stratifier.stratum.value.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 158. MeasureReport.group.stratifier.stratum.value.text | |||||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 160. MeasureReport.group.stratifier.stratum.component | |||||
| Definition | A stratifier component value. | ||||
| Short | Stratifier component values | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 162. MeasureReport.group.stratifier.stratum.component.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 164. MeasureReport.group.stratifier.stratum.component.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.component.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 166. MeasureReport.group.stratifier.stratum.component.extension:linkId | |||||
| Slice Name | linkId | ||||
| Definition | R5: | ||||
| Short | R5: Pointer to specific stratifier component from Measure (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: Pointer to specific stratifier component from Measure (new)) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 168. MeasureReport.group.stratifier.stratum.component.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 170. MeasureReport.group.stratifier.stratum.component.code | |||||
| Definition | The code for the stratum component value. | ||||
| Short | What stratifier component of the group | ||||
| Control | 1..1 | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 172. MeasureReport.group.stratifier.stratum.component.value | |||||
| Definition | The stratum component value. | ||||
| Short | The stratum component value, e.g. male | ||||
| Control | 1..1 | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 174. MeasureReport.group.stratifier.stratum.component.value.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 176. MeasureReport.group.stratifier.stratum.component.value.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.component.value.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 178. MeasureReport.group.stratifier.stratum.component.value.extension:value | |||||
| Slice Name | value | ||||
| Definition | R5: | ||||
| Short | R5: value additional types | ||||
| Comments | Element | ||||
| Control | 1..1 | ||||
| Type | Extension(R5: value additional types) (Extension Type: Choice of: boolean, Quantity, Range, Reference) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 180. MeasureReport.group.stratifier.stratum.component.value.coding | |||||
| Definition | A reference to a code defined by a terminology system. | ||||
| Short | Code defined by a terminology system | ||||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
| Control | 0..* | ||||
| Type | Coding | ||||
| Is Modifier | false | ||||
| Summary | true | ||||
| Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 182. MeasureReport.group.stratifier.stratum.component.value.text | |||||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
| Short | Plain text representation of the concept | ||||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 184. MeasureReport.group.stratifier.stratum.population | |||||
| Definition | The populations that make up the stratum, one for each type of population appropriate to the measure. | ||||
| Short | Population results in this stratum | ||||
| Control | 0..* | ||||
| Type | BackboneElement | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 186. MeasureReport.group.stratifier.stratum.population.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 188. MeasureReport.group.stratifier.stratum.population.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.population.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 190. MeasureReport.group.stratifier.stratum.population.extension:linkId | |||||
| Slice Name | linkId | ||||
| Definition | R5: | ||||
| Short | R5: Pointer to specific population from Measure (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: Pointer to specific population from Measure (new)) (Extension Type: string) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 192. MeasureReport.group.stratifier.stratum.population.extension:subjectReport | |||||
| Slice Name | subjectReport | ||||
| Definition | R5: | ||||
| Short | R5: For subject-list reports, a subject result in this population (new) | ||||
| Comments | Element | ||||
| Control | 0..* This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: For subject-list reports, a subject result in this population (new)) (Extension Type: Reference(Cross-version Profile for R5.MeasureReport for use in FHIR R4, MeasureReport)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 194. MeasureReport.group.stratifier.stratum.population.extension:subjects | |||||
| Slice Name | subjects | ||||
| Definition | R5: | ||||
| Short | R5: What individual(s) in the population (new) | ||||
| Comments | Element | ||||
| Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
| Type | Extension(R5: What individual(s) in the population (new)) (Extension Type: Reference(Cross-version Profile for R5.Group for use in FHIR R4, Group)) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 196. MeasureReport.group.stratifier.stratum.population.modifierExtension | |||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||
| Short | Extensions that cannot be ignored even if unrecognized | ||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
| Summary | true | ||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||
| Alternate Names | extensions, user content, modifiers | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 198. MeasureReport.group.stratifier.stratum.population.code | |||||
| Definition | The type of the population. | ||||
| Short | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation | ||||
| Control | 0..1 | ||||
| Binding | Unless not suitable, these codes SHALL be taken from MeasurePopulationType (extensible to http://hl7.org/fhir/ValueSet/measure-population|4.0.1)The type of population (e.g. initial, numerator, denominator, etc.). | ||||
| Type | CodeableConcept | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 200. MeasureReport.group.stratifier.stratum.population.count | |||||
| Definition | The number of members of the population in this stratum. | ||||
| Short | Size of the population | ||||
| Control | 0..1 | ||||
| Type | integer | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 202. MeasureReport.group.stratifier.stratum.population.subjectResults | |||||
| Definition | This element refers to a List of subject level MeasureReport resources, one for each subject in this population in this stratum. | ||||
| Short | For subject-list reports, the subject results in this population | ||||
| Control | 0..1 | ||||
| Type | Reference(List) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 204. MeasureReport.group.stratifier.stratum.measureScore | |||||
| Definition | The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum. | ||||
| Short | What score this stratum achieved | ||||
| Control | 0..1 | ||||
| Type | Quantity | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 206. MeasureReport.group.stratifier.stratum.measureScore.id | |||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
| Short | Unique id for inter-element referencing | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| XML Format | In the XML format, this property is represented as an attribute. | ||||
| Summary | false | ||||
| 208. MeasureReport.group.stratifier.stratum.measureScore.extension | |||||
| Definition | An Extension | ||||
| Short | Extension | ||||
| Control | 0..* | ||||
| Type | Extension | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| Slicing | This element introduces a set of slices on MeasureReport.group.stratifier.stratum.measureScore.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
| 210. MeasureReport.group.stratifier.stratum.measureScore.extension:measureScore | |||||
| Slice Name | measureScore | ||||
| Definition | R5: | ||||
| Short | R5: measureScore additional types | ||||
| Comments | Element | ||||
| Control | 0..1 | ||||
| Type | Extension(R5: measureScore additional types) (Extension Type: Choice of: dateTime, CodeableConcept, Period, Range) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | ||||
| 212. MeasureReport.group.stratifier.stratum.measureScore.value | |||||
| Definition | The value of the measured amount. The value includes an implicit precision in the presentation of the value. | ||||
| Short | Numerical value (with implicit precision) | ||||
| Comments | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books). | ||||
| Control | 0..1 | ||||
| Type | decimal | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Precision is handled implicitly in almost all cases of measurement. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 214. MeasureReport.group.stratifier.stratum.measureScore.comparator | |||||
| Definition | How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. | ||||
| Short | < | <= | >= | > - how to understand the value | ||||
| Control | 0..1 | ||||
| Binding | The codes SHALL be taken from QuantityComparator (required to http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1)How the Quantity should be understood and represented. | ||||
| Type | code | ||||
| Is Modifier | true because This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. | ||||
| Meaning if Missing | If there is no comparator, then there is no modification of the value | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 216. MeasureReport.group.stratifier.stratum.measureScore.unit | |||||
| Definition | A human-readable form of the unit. | ||||
| Short | Unit representation | ||||
| Control | 0..1 | ||||
| Type | string | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 218. MeasureReport.group.stratifier.stratum.measureScore.system | |||||
| Definition | The identification of the system that provides the coded form of the unit. | ||||
| Short | System that defines coded unit form | ||||
| Control | 0..1 This element is affected by the following invariants: qty-3 | ||||
| Type | uri | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need to know the system that defines the coded form of the unit. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 220. MeasureReport.group.stratifier.stratum.measureScore.code | |||||
| Definition | A computer processable form of the unit in some unit representation system. | ||||
| Short | Coded form of the unit | ||||
| Comments | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system. | ||||
| Control | 0..1 | ||||
| Type | code | ||||
| Is Modifier | false | ||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
| Summary | true | ||||
| Requirements | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
| 222. MeasureReport.evaluatedResource | |||||
| Definition | A reference to a Bundle containing the Resources that were used in the calculation of this measure. | ||||
| Short | What data was used to calculate the measure score | ||||
| Control | 0..* | ||||
| Type | Reference(Resource) | ||||
| Is Modifier | false | ||||
| Summary | false | ||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | ||||
IG © 2025+ FHIR Infrastructure. Package hl7.fhir.uv.xver-r5.r4#0.1.0 based on FHIR 4.0.1. Generated 2026-03-20
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