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Clinical Quality Information   Work Group | Maturity Level: 1 | Trial Use | Use Context: Any | 
The official URL for this profile is:
http://hl7.org/fhir/StructureDefinition/shareablemeasure
Enforces the minimum information set for the measure metadata required by HL7 and other organizations that share and publish measures
This profile was published on [no date] as a draft by HL7.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Measure.
This structure is derived from Measure.
| Name | Flags | Card. | Type | Description & Constraints![]()  | 
|---|---|---|---|---|
![]()  | 1..1 | Measure | ||
![]() ![]()  | 1..1 | uri | ||
![]() ![]()  | S | 0..* | Identifier | |
![]() ![]()  | 1..1 | string | ||
![]() ![]()  | 1..1 | string | ||
![]() ![]()  | S | 0..1 | string | |
![]() ![]()  | 1..1 | boolean | ||
![]() ![]()  | S | 0..1 | dateTime | |
![]() ![]()  | 1..1 | string | ||
![]() ![]()  | S | 0..* | ContactDetail | |
![]() ![]()  | 1..1 | markdown | ||
![]() ![]()  | S | 0..* | UsageContext | |
![]() ![]()  | S | 0..* | CodeableConcept | |
  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints![]()  | 
|---|---|---|---|---|
![]()  | I | 1..1 | Measure | A quality measure definition | 
![]() ![]()  | Σ | 0..1 | id | Logical id of this artifact | 
![]() ![]()  | ΣI | 0..1 | Meta | Metadata about the resource | 
![]() ![]()  | ?!ΣI | 0..1 | uri | A set of rules under which this content was created | 
![]() ![]()  | I | 0..1 | code | Language of the resource content Binding: Common Languages (preferred) Max Binding: All Languages  | 
![]() ![]()  | I | 0..1 | Narrative | Text summary of the resource, for human interpretation | 
![]() ![]()  | 0..* | Resource | Contained, inline Resources | |
![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]()  | ?!I | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]()  | ΣI | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | 
![]() ![]()  | SΣI | 0..* | Identifier | Additional identifier for the measure | 
![]() ![]()  | ΣI | 1..1 | string | Business version of the measure | 
![]() ![]()  | ΣI | 1..1 | string | Name for this measure (computer friendly) | 
![]() ![]()  | SΣI | 0..1 | string | Name for this measure (human friendly) | 
![]() ![]()  | I | 0..1 | string | Subordinate title of the measure | 
![]() ![]()  | ?!ΣI | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required)  | 
![]() ![]()  | ΣI | 1..1 | boolean | For testing purposes, not real usage | 
![]() ![]()  | I | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject type (extensible)  | |
![]() ![]() ![]()  | CodeableConcept | |||
![]() ![]() ![]()  | Reference(Group) | |||
![]() ![]()  | SΣI | 0..1 | dateTime | Date last changed | 
![]() ![]()  | ΣI | 1..1 | string | Name of the publisher (organization or individual) | 
![]() ![]()  | SΣI | 0..* | ContactDetail | Contact details for the publisher | 
![]() ![]()  | ΣI | 1..1 | markdown | Natural language description of the measure | 
![]() ![]()  | SΣI | 0..* | UsageContext | The context that the content is intended to support | 
![]() ![]()  | SΣI | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction (extensible)  | 
![]() ![]()  | I | 0..1 | markdown | Why this measure is defined | 
![]() ![]()  | I | 0..1 | string | Describes the clinical usage of the measure | 
![]() ![]()  | I | 0..1 | markdown | Use and/or publishing restrictions | 
![]() ![]()  | I | 0..1 | date | When the measure was approved by publisher | 
![]() ![]()  | I | 0..1 | date | When the measure was last reviewed | 
![]() ![]()  | ΣI | 0..1 | Period | When the measure is expected to be used | 
![]() ![]()  | I | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example)  | 
![]() ![]()  | I | 0..* | ContactDetail | Who authored the content | 
![]() ![]()  | I | 0..* | ContactDetail | Who edited the content | 
![]() ![]()  | I | 0..* | ContactDetail | Who reviewed the content | 
![]() ![]()  | I | 0..* | ContactDetail | Who endorsed the content | 
![]() ![]()  | I | 0..* | RelatedArtifact | Additional documentation, citations, etc. | 
![]() ![]()  | I | 0..* | canonical(Library) | Logic used by the measure | 
![]() ![]()  | ΣI | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | 
![]() ![]()  | ΣI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible)  | 
![]() ![]()  | ΣI | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible)  | 
![]() ![]()  | ΣI | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)  | 
![]() ![]()  | ΣI | 0..1 | string | How risk adjustment is applied for this measure | 
![]() ![]()  | ΣI | 0..1 | string | How is rate aggregation performed for this measure | 
![]() ![]()  | ΣI | 0..1 | markdown | Detailed description of why the measure exists | 
![]() ![]()  | ΣI | 0..1 | markdown | Summary of clinical guidelines | 
![]() ![]()  | ΣI | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required)  | 
![]() ![]()  | ΣI | 0..* | markdown | Defined terms used in the measure documentation | 
![]() ![]()  | ΣI | 0..1 | markdown | Additional guidance for implementers | 
![]() ![]()  | I | 0..* | BackboneElement | Population criteria group | 
![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]()  | I | 0..1 | CodeableConcept | Meaning of the group | 
![]() ![]() ![]()  | I | 0..1 | string | Summary description | 
![]() ![]() ![]()  | I | 0..* | BackboneElement | Population criteria | 
![]() ![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]() ![]()  | I | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible)  | 
![]() ![]() ![]() ![]()  | I | 0..1 | string | The human readable description of this population criteria | 
![]() ![]() ![]() ![]()  | I | 1..1 | Expression | The criteria that defines this population | 
![]() ![]() ![]()  | I | 0..* | BackboneElement | Stratifier criteria for the measure | 
![]() ![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]() ![]()  | I | 0..1 | CodeableConcept | Meaning of the stratifier | 
![]() ![]() ![]() ![]()  | I | 0..1 | string | The human readable description of this stratifier | 
![]() ![]() ![]() ![]()  | I | 0..1 | Expression | How the measure should be stratified | 
![]() ![]() ![]() ![]()  | I | 0..* | BackboneElement | Stratifier criteria component for the measure | 
![]() ![]() ![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]() ![]() ![]()  | I | 0..1 | CodeableConcept | Meaning of the stratifier component | 
![]() ![]() ![]() ![]() ![]()  | I | 0..1 | string | The human readable description of this stratifier component | 
![]() ![]() ![]() ![]() ![]()  | I | 1..1 | Expression | Component of how the measure should be stratified | 
![]() ![]()  | I | 0..* | BackboneElement | What other data should be reported with the measure | 
![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]()  | I | 0..1 | CodeableConcept | Meaning of the supplemental data | 
![]() ![]() ![]()  | I | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible)  | 
![]() ![]() ![]()  | I | 0..1 | string | The human readable description of this supplemental data | 
![]() ![]() ![]()  | I | 1..1 | Expression | Expression describing additional data to be reported | 
  Documentation for this format | ||||
<!-- Shareable Measure --><Measure xmlns="http://hl7.org/fhir" > <!-- from Element: extension --> <id value="[id]"/><!-- 0..1 Logical id of this artifact --> <meta><!--
0..1 Meta Metadata about the resource --></meta> <implicitRules value="[uri]"/><!--
0..1 A set of rules under which this content was created --> <language value="[code]"/><!--
0..1 Language of the resource content --> <text><!--
0..1 Narrative Text summary of the resource, for human interpretation --></text> <contained><!-- 0..* Resource Contained, inline Resources --></contained> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored --></modifierExtension> <url value="[uri]"/><!--
1..1 Canonical identifier for this measure, represented as a URI (globally unique) --> <identifier><!--
0..* Identifier Additional identifier for the measure --></identifier> <version value="[string]"/><!--
1..1 Business version of the measure --> <name value="[string]"/><!--
1..1 Name for this measure (computer friendly) --> <title value="[string]"/><!--
0..1 Name for this measure (human friendly) --> <subtitle value="[string]"/><!--
0..1 Subordinate title of the measure --> <status value="[code]"/><!--
1..1 draft | active | retired | unknown --> <experimental value="[boolean]"/><!--
1..1 For testing purposes, not real usage --> <subject[x]><!--
0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device --></subject[x]> <date value="[dateTime]"/><!--
0..1 Date last changed --> <publisher value="[string]"/><!--
1..1 Name of the publisher (organization or individual) --> <contact><!--
0..* ContactDetail Contact details for the publisher --></contact> <description value="[markdown]"/><!--
1..1 Natural language description of the measure --> <useContext><!--
0..* UsageContext The context that the content is intended to support --></useContext> <jurisdiction><!--
0..* CodeableConcept Intended jurisdiction for measure (if applicable) --></jurisdiction> <purpose value="[markdown]"/><!--
0..1 Why this measure is defined --> <usage value="[string]"/><!--
0..1 Describes the clinical usage of the measure --> <copyright value="[markdown]"/><!--
0..1 Use and/or publishing restrictions --> <approvalDate value="[date]"/><!--
0..1 When the measure was approved by publisher --> <lastReviewDate value="[date]"/><!--
0..1 When the measure was last reviewed --> <effectivePeriod><!--
0..1 Period When the measure is expected to be used --></effectivePeriod> <topic><!--
0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc. --></topic> <author><!--
0..* ContactDetail Who authored the content --></author> <editor><!--
0..* ContactDetail Who edited the content --></editor> <reviewer><!--
0..* ContactDetail Who reviewed the content --></reviewer> <endorser><!--
0..* ContactDetail Who endorsed the content --></endorser> <relatedArtifact><!--
0..* RelatedArtifact Additional documentation, citations, etc. --></relatedArtifact> <library value="[canonical]"/><!--
0..* Logic used by the measure --> <disclaimer value="[markdown]"/><!--
0..1 Disclaimer for use of the measure or its referenced content --> <scoring><!--
0..1 CodeableConcept proportion | ratio | continuous-variable | cohort --></scoring> <compositeScoring><!--
0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted --></compositeScoring> <type><!--
0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite --></type> <riskAdjustment value="[string]"/><!--
0..1 How risk adjustment is applied for this measure --> <rateAggregation value="[string]"/><!--
0..1 How is rate aggregation performed for this measure --> <rationale value="[markdown]"/><!--
0..1 Detailed description of why the measure exists --> <clinicalRecommendationStatement value="[markdown]"/><!--
0..1 Summary of clinical guidelines --> <improvementNotation><!--
0..1 CodeableConcept increase | decrease --></improvementNotation> <definition value="[markdown]"/><!--
0..* Defined terms used in the measure documentation --> <guidance value="[markdown]"/><!--
0..1 Additional guidance for implementers --> <group>
0..* BackboneElement <!--
0..* Population criteria group --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept Meaning of the group --></code> <description value="[string]"/><!--
0..1 Summary description --> <population>
0..* BackboneElement <!--
0..* Population criteria --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation --></code> <description value="[string]"/><!--
0..1 The human readable description of this population criteria --> <criteria><!--
1..1 Expression The criteria that defines this population --></criteria> </population> <stratifier>
0..* BackboneElement <!--
0..* Stratifier criteria for the measure --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept Meaning of the stratifier --></code> <description value="[string]"/><!--
0..1 The human readable description of this stratifier --> <criteria><!--
0..1 Expression How the measure should be stratified --></criteria> <component>
0..* BackboneElement <!--
0..* Stratifier criteria component for the measure --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept Meaning of the stratifier component --></code> <description value="[string]"/><!--
0..1 The human readable description of this stratifier component --> <criteria><!--
1..1 Expression Component of how the measure should be stratified --></criteria> </component> </stratifier> </group> <supplementalData>
0..* BackboneElement <!--
0..* What other data should be reported with the measure --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept Meaning of the supplemental data --></code> <usage><!--
0..* CodeableConcept supplemental-data | risk-adjustment-factor --></usage> <description value="[string]"/><!--
0..1 The human readable description of this supplemental data --> <criteria><!--
1..1 Expression Expression describing additional data to be reported --></criteria> </supplementalData> </Measure>
{ // Shareable Measure
  // from Element: extension
    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "url" : "<uri>", // C? R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // C?Additional identifier for the measure
    "version" : "<string>", // C? R! Business version of the measure
    "name" : "<string>", // C? R! Name for this measure (computer friendly)
    "title" : "<string>", // C?Name for this measure (human friendly)
    "subtitle" : "<string>", // C?Subordinate title of the measure
    "status" : "<code>", // C? R! draft | active | retired | unknown
    "experimental" : <boolean>, // C? R! For testing purposes, not real usage
// value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept }, // C?E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // C?E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "date" : "<dateTime>", // C?Date last changed
    "publisher" : "<string>", // C? R! Name of the publisher (organization or individual)
    "contact" : [{ ContactDetail }], // C?Contact details for the publisher
    "description" : "<markdown>", // C? R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // C?The context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // C?Intended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // C?Why this measure is defined
    "usage" : "<string>", // C?Describes the clinical usage of the measure
    "copyright" : "<markdown>", // C?Use and/or publishing restrictions
    "approvalDate" : "<date>", // C?When the measure was approved by publisher
    "lastReviewDate" : "<date>", // C?When the measure was last reviewed
    "effectivePeriod" : { Period }, // C?When the measure is expected to be used
    "topic" : [{ CodeableConcept }], // C?The category of the measure, such as Education, Treatment, Assessment, etc.
    "author" : [{ ContactDetail }], // C?Who authored the content
    "editor" : [{ ContactDetail }], // C?Who edited the content
    "reviewer" : [{ ContactDetail }], // C?Who reviewed the content
    "endorser" : [{ ContactDetail }], // C?Who endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // C?Additional documentation, citations, etc.
    "library" : ["<canonical>"], // C?Logic used by the measure
    "disclaimer" : "<markdown>", // C?Disclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // C?proportion | ratio | continuous-variable | cohort
    "compositeScoring" : { CodeableConcept }, // C?opportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // C?process | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<string>", // C?How risk adjustment is applied for this measure
    "rateAggregation" : "<string>", // C?How is rate aggregation performed for this measure
    "rationale" : "<markdown>", // C?Detailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // C?Summary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // C?increase | decrease
    "definition" : ["<markdown>"], // C?Defined terms used in the measure documentation
    "guidance" : "<markdown>", // C?Additional guidance for implementers
    "group" : [{ BackboneElement }] // C?Population criteria group
    "supplementalData" : [{ BackboneElement }], // C?What other data should be reported with the measure
  }
   This structure is derived from Measure.
Differential View
This structure is derived from Measure.
| Name | Flags | Card. | Type | Description & Constraints![]()  | 
|---|---|---|---|---|
![]()  | 1..1 | Measure | ||
![]() ![]()  | 1..1 | uri | ||
![]() ![]()  | S | 0..* | Identifier | |
![]() ![]()  | 1..1 | string | ||
![]() ![]()  | 1..1 | string | ||
![]() ![]()  | S | 0..1 | string | |
![]() ![]()  | 1..1 | boolean | ||
![]() ![]()  | S | 0..1 | dateTime | |
![]() ![]()  | 1..1 | string | ||
![]() ![]()  | S | 0..* | ContactDetail | |
![]() ![]()  | 1..1 | markdown | ||
![]() ![]()  | S | 0..* | UsageContext | |
![]() ![]()  | S | 0..* | CodeableConcept | |
  Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints![]()  | 
|---|---|---|---|---|
![]()  | I | 1..1 | Measure | A quality measure definition | 
![]() ![]()  | Σ | 0..1 | id | Logical id of this artifact | 
![]() ![]()  | ΣI | 0..1 | Meta | Metadata about the resource | 
![]() ![]()  | ?!ΣI | 0..1 | uri | A set of rules under which this content was created | 
![]() ![]()  | I | 0..1 | code | Language of the resource content Binding: Common Languages (preferred) Max Binding: All Languages  | 
![]() ![]()  | I | 0..1 | Narrative | Text summary of the resource, for human interpretation | 
![]() ![]()  | 0..* | Resource | Contained, inline Resources | |
![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]()  | ?!I | 0..* | Extension | Extensions that cannot be ignored | 
![]() ![]()  | ΣI | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | 
![]() ![]()  | SΣI | 0..* | Identifier | Additional identifier for the measure | 
![]() ![]()  | ΣI | 1..1 | string | Business version of the measure | 
![]() ![]()  | ΣI | 1..1 | string | Name for this measure (computer friendly) | 
![]() ![]()  | SΣI | 0..1 | string | Name for this measure (human friendly) | 
![]() ![]()  | I | 0..1 | string | Subordinate title of the measure | 
![]() ![]()  | ?!ΣI | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required)  | 
![]() ![]()  | ΣI | 1..1 | boolean | For testing purposes, not real usage | 
![]() ![]()  | I | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject type (extensible)  | |
![]() ![]() ![]()  | CodeableConcept | |||
![]() ![]() ![]()  | Reference(Group) | |||
![]() ![]()  | SΣI | 0..1 | dateTime | Date last changed | 
![]() ![]()  | ΣI | 1..1 | string | Name of the publisher (organization or individual) | 
![]() ![]()  | SΣI | 0..* | ContactDetail | Contact details for the publisher | 
![]() ![]()  | ΣI | 1..1 | markdown | Natural language description of the measure | 
![]() ![]()  | SΣI | 0..* | UsageContext | The context that the content is intended to support | 
![]() ![]()  | SΣI | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction (extensible)  | 
![]() ![]()  | I | 0..1 | markdown | Why this measure is defined | 
![]() ![]()  | I | 0..1 | string | Describes the clinical usage of the measure | 
![]() ![]()  | I | 0..1 | markdown | Use and/or publishing restrictions | 
![]() ![]()  | I | 0..1 | date | When the measure was approved by publisher | 
![]() ![]()  | I | 0..1 | date | When the measure was last reviewed | 
![]() ![]()  | ΣI | 0..1 | Period | When the measure is expected to be used | 
![]() ![]()  | I | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example)  | 
![]() ![]()  | I | 0..* | ContactDetail | Who authored the content | 
![]() ![]()  | I | 0..* | ContactDetail | Who edited the content | 
![]() ![]()  | I | 0..* | ContactDetail | Who reviewed the content | 
![]() ![]()  | I | 0..* | ContactDetail | Who endorsed the content | 
![]() ![]()  | I | 0..* | RelatedArtifact | Additional documentation, citations, etc. | 
![]() ![]()  | I | 0..* | canonical(Library) | Logic used by the measure | 
![]() ![]()  | ΣI | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | 
![]() ![]()  | ΣI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible)  | 
![]() ![]()  | ΣI | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible)  | 
![]() ![]()  | ΣI | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)  | 
![]() ![]()  | ΣI | 0..1 | string | How risk adjustment is applied for this measure | 
![]() ![]()  | ΣI | 0..1 | string | How is rate aggregation performed for this measure | 
![]() ![]()  | ΣI | 0..1 | markdown | Detailed description of why the measure exists | 
![]() ![]()  | ΣI | 0..1 | markdown | Summary of clinical guidelines | 
![]() ![]()  | ΣI | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required)  | 
![]() ![]()  | ΣI | 0..* | markdown | Defined terms used in the measure documentation | 
![]() ![]()  | ΣI | 0..1 | markdown | Additional guidance for implementers | 
![]() ![]()  | I | 0..* | BackboneElement | Population criteria group | 
![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]()  | I | 0..1 | CodeableConcept | Meaning of the group | 
![]() ![]() ![]()  | I | 0..1 | string | Summary description | 
![]() ![]() ![]()  | I | 0..* | BackboneElement | Population criteria | 
![]() ![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]() ![]()  | I | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible)  | 
![]() ![]() ![]() ![]()  | I | 0..1 | string | The human readable description of this population criteria | 
![]() ![]() ![]() ![]()  | I | 1..1 | Expression | The criteria that defines this population | 
![]() ![]() ![]()  | I | 0..* | BackboneElement | Stratifier criteria for the measure | 
![]() ![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]() ![]()  | I | 0..1 | CodeableConcept | Meaning of the stratifier | 
![]() ![]() ![]() ![]()  | I | 0..1 | string | The human readable description of this stratifier | 
![]() ![]() ![]() ![]()  | I | 0..1 | Expression | How the measure should be stratified | 
![]() ![]() ![]() ![]()  | I | 0..* | BackboneElement | Stratifier criteria component for the measure | 
![]() ![]() ![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]() ![]() ![]()  | I | 0..1 | CodeableConcept | Meaning of the stratifier component | 
![]() ![]() ![]() ![]() ![]()  | I | 0..1 | string | The human readable description of this stratifier component | 
![]() ![]() ![]() ![]() ![]()  | I | 1..1 | Expression | Component of how the measure should be stratified | 
![]() ![]()  | I | 0..* | BackboneElement | What other data should be reported with the measure | 
![]() ![]() ![]()  | 0..1 | id | Unique id for inter-element referencing | |
![]() ![]() ![]()  | I | 0..* | Extension | Additional content defined by implementations | 
![]() ![]() ![]()  | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 
![]() ![]() ![]()  | I | 0..1 | CodeableConcept | Meaning of the supplemental data | 
![]() ![]() ![]()  | I | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible)  | 
![]() ![]() ![]()  | I | 0..1 | string | The human readable description of this supplemental data | 
![]() ![]() ![]()  | I | 1..1 | Expression | Expression describing additional data to be reported | 
  Documentation for this format | ||||
XML Template
<!-- Shareable Measure --><Measure xmlns="http://hl7.org/fhir" > <!-- from Element: extension --> <id value="[id]"/><!-- 0..1 Logical id of this artifact --> <meta><!--
0..1 Meta Metadata about the resource --></meta> <implicitRules value="[uri]"/><!--
0..1 A set of rules under which this content was created --> <language value="[code]"/><!--
0..1 Language of the resource content --> <text><!--
0..1 Narrative Text summary of the resource, for human interpretation --></text> <contained><!-- 0..* Resource Contained, inline Resources --></contained> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored --></modifierExtension> <url value="[uri]"/><!--
1..1 Canonical identifier for this measure, represented as a URI (globally unique) --> <identifier><!--
0..* Identifier Additional identifier for the measure --></identifier> <version value="[string]"/><!--
1..1 Business version of the measure --> <name value="[string]"/><!--
1..1 Name for this measure (computer friendly) --> <title value="[string]"/><!--
0..1 Name for this measure (human friendly) --> <subtitle value="[string]"/><!--
0..1 Subordinate title of the measure --> <status value="[code]"/><!--
1..1 draft | active | retired | unknown --> <experimental value="[boolean]"/><!--
1..1 For testing purposes, not real usage --> <subject[x]><!--
0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device --></subject[x]> <date value="[dateTime]"/><!--
0..1 Date last changed --> <publisher value="[string]"/><!--
1..1 Name of the publisher (organization or individual) --> <contact><!--
0..* ContactDetail Contact details for the publisher --></contact> <description value="[markdown]"/><!--
1..1 Natural language description of the measure --> <useContext><!--
0..* UsageContext The context that the content is intended to support --></useContext> <jurisdiction><!--
0..* CodeableConcept Intended jurisdiction for measure (if applicable) --></jurisdiction> <purpose value="[markdown]"/><!--
0..1 Why this measure is defined --> <usage value="[string]"/><!--
0..1 Describes the clinical usage of the measure --> <copyright value="[markdown]"/><!--
0..1 Use and/or publishing restrictions --> <approvalDate value="[date]"/><!--
0..1 When the measure was approved by publisher --> <lastReviewDate value="[date]"/><!--
0..1 When the measure was last reviewed --> <effectivePeriod><!--
0..1 Period When the measure is expected to be used --></effectivePeriod> <topic><!--
0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc. --></topic> <author><!--
0..* ContactDetail Who authored the content --></author> <editor><!--
0..* ContactDetail Who edited the content --></editor> <reviewer><!--
0..* ContactDetail Who reviewed the content --></reviewer> <endorser><!--
0..* ContactDetail Who endorsed the content --></endorser> <relatedArtifact><!--
0..* RelatedArtifact Additional documentation, citations, etc. --></relatedArtifact> <library value="[canonical]"/><!--
0..* Logic used by the measure --> <disclaimer value="[markdown]"/><!--
0..1 Disclaimer for use of the measure or its referenced content --> <scoring><!--
0..1 CodeableConcept proportion | ratio | continuous-variable | cohort --></scoring> <compositeScoring><!--
0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted --></compositeScoring> <type><!--
0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite --></type> <riskAdjustment value="[string]"/><!--
0..1 How risk adjustment is applied for this measure --> <rateAggregation value="[string]"/><!--
0..1 How is rate aggregation performed for this measure --> <rationale value="[markdown]"/><!--
0..1 Detailed description of why the measure exists --> <clinicalRecommendationStatement value="[markdown]"/><!--
0..1 Summary of clinical guidelines --> <improvementNotation><!--
0..1 CodeableConcept increase | decrease --></improvementNotation> <definition value="[markdown]"/><!--
0..* Defined terms used in the measure documentation --> <guidance value="[markdown]"/><!--
0..1 Additional guidance for implementers --> <group>
0..* BackboneElement <!--
0..* Population criteria group --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept Meaning of the group --></code> <description value="[string]"/><!--
0..1 Summary description --> <population>
0..* BackboneElement <!--
0..* Population criteria --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation --></code> <description value="[string]"/><!--
0..1 The human readable description of this population criteria --> <criteria><!--
1..1 Expression The criteria that defines this population --></criteria> </population> <stratifier>
0..* BackboneElement <!--
0..* Stratifier criteria for the measure --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept Meaning of the stratifier --></code> <description value="[string]"/><!--
0..1 The human readable description of this stratifier --> <criteria><!--
0..1 Expression How the measure should be stratified --></criteria> <component>
0..* BackboneElement <!--
0..* Stratifier criteria component for the measure --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept Meaning of the stratifier component --></code> <description value="[string]"/><!--
0..1 The human readable description of this stratifier component --> <criteria><!--
1..1 Expression Component of how the measure should be stratified --></criteria> </component> </stratifier> </group> <supplementalData>
0..* BackboneElement <!--
0..* What other data should be reported with the measure --> <modifierExtension><!--
0..* Extension Extensions that cannot be ignored even if unrecognized --></modifierExtension> <code><!--
0..1 CodeableConcept Meaning of the supplemental data --></code> <usage><!--
0..* CodeableConcept supplemental-data | risk-adjustment-factor --></usage> <description value="[string]"/><!--
0..1 The human readable description of this supplemental data --> <criteria><!--
1..1 Expression Expression describing additional data to be reported --></criteria> </supplementalData> </Measure>
JSON Template
{ // Shareable Measure
  // from Element: extension
    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "url" : "<uri>", // C? R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // C?Additional identifier for the measure
    "version" : "<string>", // C? R! Business version of the measure
    "name" : "<string>", // C? R! Name for this measure (computer friendly)
    "title" : "<string>", // C?Name for this measure (human friendly)
    "subtitle" : "<string>", // C?Subordinate title of the measure
    "status" : "<code>", // C? R! draft | active | retired | unknown
    "experimental" : <boolean>, // C? R! For testing purposes, not real usage
// value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept }, // C?E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // C?E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "date" : "<dateTime>", // C?Date last changed
    "publisher" : "<string>", // C? R! Name of the publisher (organization or individual)
    "contact" : [{ ContactDetail }], // C?Contact details for the publisher
    "description" : "<markdown>", // C? R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // C?The context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // C?Intended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // C?Why this measure is defined
    "usage" : "<string>", // C?Describes the clinical usage of the measure
    "copyright" : "<markdown>", // C?Use and/or publishing restrictions
    "approvalDate" : "<date>", // C?When the measure was approved by publisher
    "lastReviewDate" : "<date>", // C?When the measure was last reviewed
    "effectivePeriod" : { Period }, // C?When the measure is expected to be used
    "topic" : [{ CodeableConcept }], // C?The category of the measure, such as Education, Treatment, Assessment, etc.
    "author" : [{ ContactDetail }], // C?Who authored the content
    "editor" : [{ ContactDetail }], // C?Who edited the content
    "reviewer" : [{ ContactDetail }], // C?Who reviewed the content
    "endorser" : [{ ContactDetail }], // C?Who endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // C?Additional documentation, citations, etc.
    "library" : ["<canonical>"], // C?Logic used by the measure
    "disclaimer" : "<markdown>", // C?Disclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // C?proportion | ratio | continuous-variable | cohort
    "compositeScoring" : { CodeableConcept }, // C?opportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // C?process | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<string>", // C?How risk adjustment is applied for this measure
    "rateAggregation" : "<string>", // C?How is rate aggregation performed for this measure
    "rationale" : "<markdown>", // C?Detailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // C?Summary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // C?increase | decrease
    "definition" : ["<markdown>"], // C?Defined terms used in the measure documentation
    "guidance" : "<markdown>", // C?Additional guidance for implementers
    "group" : [{ BackboneElement }] // C?Population criteria group
    "supplementalData" : [{ BackboneElement }], // C?What other data should be reported with the measure
  }
   
Alternate definitions: Master Definition (XML, JSON), Schematron
| Path | Name | Conformance | ValueSet | 
| Measure.language | Common Languages | preferred | Common Languages | 
| Measure.status | PublicationStatus | required | PublicationStatus | 
| Measure.subject[x] | Subject type | extensible | Subject type | 
| Measure.jurisdiction | Jurisdiction | extensible | Jurisdiction | 
| Measure.topic | DefinitionTopic | example | DefinitionTopic | 
| Measure.scoring | MeasureScoring | extensible | MeasureScoring | 
| Measure.compositeScoring | CompositeMeasureScoring | extensible | CompositeMeasureScoring | 
| Measure.type | MeasureType | extensible | MeasureType | 
| Measure.improvementNotation | MeasureImprovementNotation | required | MeasureImprovementNotation | 
| Measure.group.population.code | MeasurePopulationType | extensible | MeasurePopulationType | 
| Measure.supplementalData.usage | MeasureDataUsage | extensible | MeasureDataUsage |