Release 4B Ballot #1

This page is part of the FHIR Specification v4.1.0: R4B Ballot. About the R4B version of FHIR. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Clinical Quality Information Work Group Maturity Level: 0Trial 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 Thu, Jan 1, 1970 00:00+1000 as a draft by HL7.

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Measure.

Summary

Mandatory: 6 elements
Must-Support: 6 elements

This structure is derived from Measure.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1MeasureA quality measure definition
... url 1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier S0..*IdentifierAdditional identifier for the measure
... version 1..1stringBusiness version of the measure
... title S0..1stringName for this measure (human friendly)
... experimental 1..1booleanFor testing purposes, not real usage
... date S0..1dateTimeDate last changed
... publisher 1..1stringName of the publisher (organization or individual)
... contact S0..*ContactDetailContact details for the publisher
... description 1..1markdownNatural language description of the measure
... useContext S0..*UsageContextThe context that the content is intended to support
... jurisdiction S0..*CodeableConceptIntended jurisdiction for measure (if applicable)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I1..1MeasureA quality measure definition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (preferred)
Max Binding: All Languages: IETF language tag

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url Σ1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ0..*IdentifierAdditional identifier for the measure
... version Σ1..1stringBusiness version of the measure
... name ΣI1..1stringName for this measure (computer friendly)
... title SΣ0..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental Σ1..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Subject type (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date SΣ0..1dateTimeDate last changed
... publisher Σ1..1stringName of the publisher (organization or individual)
... contact SΣ0..*ContactDetailContact details for the publisher
... description Σ1..1markdownNatural language description of the measure
... useContext SΣ0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the measure was approved by publisher
... lastReviewDate 0..1dateWhen the measure was last reviewed
... effectivePeriod Σ0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactAdditional documentation, citations, etc.
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ0..1stringHow risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... group 0..*BackboneElementPopulation criteria group
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the group
Binding: MeasureGroupExample (example): Example of measure groups.

.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
Binding: MeasureStratifierExample (example): Meaning of the stratifier.

..... description 0..1stringThe human readable description of this stratifier
..... criteria 0..1ExpressionHow the measure should be stratified
..... component 0..*BackboneElementStratifier criteria component for the measure
...... id 0..1idUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code 0..1CodeableConceptMeaning of the stratifier component
Binding: MeasureStratifierExample (example): Meaning of the stratifier.

...... description 0..1stringThe human readable description of this stratifier component
...... criteria 1..1ExpressionComponent of how the measure should be stratified
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
Binding: MeasureSupplementalDataExample (example): Meaning of the supplemental data.

.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format
<!-- Shareable Measure -->doco

<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.

Summary

Mandatory: 6 elements
Must-Support: 6 elements

Differential View

This structure is derived from Measure.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1MeasureA quality measure definition
... url 1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier S0..*IdentifierAdditional identifier for the measure
... version 1..1stringBusiness version of the measure
... title S0..1stringName for this measure (human friendly)
... experimental 1..1booleanFor testing purposes, not real usage
... date S0..1dateTimeDate last changed
... publisher 1..1stringName of the publisher (organization or individual)
... contact S0..*ContactDetailContact details for the publisher
... description 1..1markdownNatural language description of the measure
... useContext S0..*UsageContextThe context that the content is intended to support
... jurisdiction S0..*CodeableConceptIntended jurisdiction for measure (if applicable)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I1..1MeasureA quality measure definition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (preferred)
Max Binding: All Languages: IETF language tag

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url Σ1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ0..*IdentifierAdditional identifier for the measure
... version Σ1..1stringBusiness version of the measure
... name ΣI1..1stringName for this measure (computer friendly)
... title SΣ0..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental Σ1..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Subject type (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date SΣ0..1dateTimeDate last changed
... publisher Σ1..1stringName of the publisher (organization or individual)
... contact SΣ0..*ContactDetailContact details for the publisher
... description Σ1..1markdownNatural language description of the measure
... useContext SΣ0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the measure was approved by publisher
... lastReviewDate 0..1dateWhen the measure was last reviewed
... effectivePeriod Σ0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactAdditional documentation, citations, etc.
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ0..1stringHow risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... group 0..*BackboneElementPopulation criteria group
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the group
Binding: MeasureGroupExample (example): Example of measure groups.

.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... id 0..1idUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
Binding: MeasureStratifierExample (example): Meaning of the stratifier.

..... description 0..1stringThe human readable description of this stratifier
..... criteria 0..1ExpressionHow the measure should be stratified
..... component 0..*BackboneElementStratifier criteria component for the measure
...... id 0..1idUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code 0..1CodeableConceptMeaning of the stratifier component
Binding: MeasureStratifierExample (example): Meaning of the stratifier.

...... description 0..1stringThe human readable description of this stratifier component
...... criteria 1..1ExpressionComponent of how the measure should be stratified
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
Binding: MeasureSupplementalDataExample (example): Meaning of the supplemental data.

.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

XML Template

<!-- Shareable Measure -->doco

<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

PathNameConformanceValueSet
Measure.languageCommon LanguagespreferredCommon Languages
Measure.statusPublicationStatusrequiredPublicationStatus
Measure.subject[x]Subject typeextensibleSubject type
Measure.jurisdictionJurisdictionextensibleJurisdiction
Measure.topicDefinitionTopicexampleDefinitionTopic
Measure.scoringMeasureScoringextensibleMeasureScoring
Measure.compositeScoringCompositeMeasureScoringextensibleCompositeMeasureScoring
Measure.typeMeasureTypeextensibleMeasureType
Measure.improvementNotationMeasureImprovementNotationrequiredMeasureImprovementNotation
Measure.group.codeMeasureGroupExampleexampleMeasureGroupExample
Measure.group.population.codeMeasurePopulationTypeextensibleMeasurePopulationType
Measure.group.stratifier.codeMeasureStratifierExampleexampleMeasureStratifierExample
Measure.group.stratifier.component.codeMeasureStratifierExampleexampleMeasureStratifierExample
Measure.supplementalData.codeMeasureSupplementalDataExampleexampleMeasureSupplementalDataExample
Measure.supplementalData.usageMeasureDataUsageextensibleMeasureDataUsage
.