R6 Ballot (1st Draft)

This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions

Example StructureDefinition/MeasureReport (Turtle)

Clinical Quality Information Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient

Raw Turtle (+ also see Turtle/RDF Format Specification)

StructureDefinition for measurereport

@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

# - resource -------------------------------------------------------------------

[] a fhir:StructureDefinition ;
  fhir:id [ fhir:v "MeasureReport"] ;
  fhir:meta [
     fhir:lastUpdated [ fhir:v "2023-12-18T15:12:07.602+11:00" ]
  ] ;
  fhir:text [
     fhir:status [ fhir:v "generated" ]
  ] ;
  fhir:extension ( [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ] ;
     fhir:value [ fhir:v "Specialized.Quality Reporting &amp; Testing" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
     fhir:value [ fhir:v "trial-use" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:value [ fhir:v "cqi" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
     fhir:value [ fhir:v "4" ]
  ] [
     fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category" ] ;
     fhir:value [ fhir:v "business" ]
  ] ) ;
  fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport"], [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport"] ;
  fhir:version [ fhir:v "6.0.0-ballot1"], [ fhir:v "6.0.0-ballot1"] ;
  fhir:name [ fhir:v "MeasureReport"], [ fhir:v "MeasureReport"] ;
  fhir:status [ fhir:v "draft"], [ fhir:v "draft"] ;
  fhir:experimental [ fhir:v "false"], [ fhir:v "false"] ;
  fhir:date [ fhir:v "2023-12-18T15:12:07+11:00"], [ fhir:v "2023-12-18T15:12:07+11:00"] ;
  fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"], [ fhir:v "HL7 International / Clinical Quality Information"] ;
  fhir:contact ( [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fiwg" ]
     ] )
  ] [
     fhir:telecom ( [
       fhir:system [ fhir:v "url" ] ;
       fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]
     ] )
  ] ) ;
  fhir:description [ fhir:v "The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation."], [ fhir:v "The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation."] ;
  fhir:jurisdiction ( [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] [
     fhir:coding ( [
       fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:code [ fhir:v "001" ] ;
       fhir:display [ fhir:v "World" ]
     ] )
  ] ) ;
  fhir:fhirVersion [ fhir:v "6.0.0-ballot1"] ;
  fhir:mapping ( [
     fhir:identity [ fhir:v "w5" ] ;
     fhir:uri [ fhir:v "http://hl7.org/fhir/fivews" ] ;
     fhir:name [ fhir:v "FiveWs Pattern Mapping" ]
  ] [
     fhir:identity [ fhir:v "rim" ] ;
     fhir:uri [ fhir:v "http://hl7.org/v3" ] ;
     fhir:name [ fhir:v "RIM Mapping" ]
  ] ) ;
  fhir:kind [ fhir:v "resource"] ;
  fhir:abstract [ fhir:v "false"] ;
  fhir:type [ fhir:v "MeasureReport"] ;
  fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"] ;
  fhir:derivation [ fhir:v "specialization"] ;
  fhir:snapshot [
     fhir:element ( [
       fhir:id [ fhir:v "MeasureReport" ] ;
       fhir:path [ fhir:v "MeasureReport" ] ;
       fhir:short [ fhir:v "Results of a measure evaluation" ] ;
       fhir:definition [ fhir:v "The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:constraint ( [
         fhir:key [ fhir:v "dom-2" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
         fhir:expression [ fhir:v "contained.contained.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-3" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "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" ] ;
         fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-4" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
         fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "dom-5" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
         fhir:expression [ fhir:v "contained.meta.security.empty()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ;
           fhir:value [ fhir:v "true" ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ;
           fhir:value [ fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ]
         ] ) ;
         fhir:key [ fhir:v "dom-6" ] ;
         fhir:severity [ fhir:v "warning" ] ;
         fhir:human [ fhir:v "A resource should have narrative for robust management" ] ;
         fhir:expression [ fhir:v "text.`div`.exists()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ] [
         fhir:key [ fhir:v "mrp-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Measure Reports used for data collection SHALL NOT communicate group and score information" ] ;
         fhir:expression [ fhir:v "(type != 'data-exchange') or group.exists().not()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport" ]
       ] [
         fhir:key [ fhir:v "mrp-2" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Stratifiers SHALL be either a single criteria or a set of criteria components" ] ;
         fhir:expression [ fhir:v "group.stratifier.stratum.all(value.exists() xor component.exists())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "Entity, Role, or Act,Observation[classCode=OBS, moodCode=EVN]" ]
       ] [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "clinical.general" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.id" ] ;
       fhir:path [ fhir:v "MeasureReport.id" ] ;
       fhir:short [ fhir:v "Logical id of this artifact" ] ;
       fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
       fhir:comment [ fhir:v "Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "id" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "MeasureReport.meta" ] ;
       fhir:path [ fhir:v "MeasureReport.meta" ] ;
       fhir:short [ fhir:v "Metadata about the resource" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.meta" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Meta" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "MeasureReport.implicitRules" ] ;
       fhir:path [ fhir:v "MeasureReport.implicitRules" ] ;
       fhir:short [ fhir:v "A set of rules under which this content was created" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:comment [ fhir:v "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 its narrative along with other profiles, value sets, etc." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.implicitRules" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "uri" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation" ] ;
       fhir:isSummary [ fhir:v "true" ]
     ] [
       fhir:id [ fhir:v "MeasureReport.language" ] ;
       fhir:path [ fhir:v "MeasureReport.language" ] ;
       fhir:short [ fhir:v "Language of the resource content" ] ;
       fhir:definition [ fhir:v "The base language in which the resource is written." ] ;
       fhir:comment [ fhir:v "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)." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Resource.language" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "Language" ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ] ;
           fhir:value [ fhir:v "true" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "IETF language tag for a human language" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot1" ] ;
         fhir:additional ( [
           fhir:purpose [ fhir:v "starter" ] ;
           fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/languages" ]
         ] )
       ]
     ] [
       fhir:id [ fhir:v "MeasureReport.text" ] ;
       fhir:path [ fhir:v "MeasureReport.text" ] ;
       fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:comment [ fhir:v "Contained resources do not have a 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." ] ;
       fhir:alias ( [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.text" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Narrative" ]
       ] ) ;
       fhir:condition ( [ fhir:v "dom-6" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "Act.text?" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.contained" ] ;
       fhir:path [ fhir:v "MeasureReport.contained" ] ;
       fhir:short [ fhir:v "Contained, inline Resources" ] ;
       fhir:definition [ fhir:v "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.contained" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Resource" ]
       ] ) ;
       fhir:condition ( [ fhir:v "dom-2" ] [ fhir:v "dom-4" ] [ fhir:v "dom-3" ] [ fhir:v "dom-5" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.extension" ] ;
       fhir:path [ fhir:v "MeasureReport.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.modifierExtension" ] ;
       fhir:path [ fhir:v "MeasureReport.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "DomainResource.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.identifier" ] ;
       fhir:path [ fhir:v "MeasureReport.identifier" ] ;
       fhir:short [ fhir:v "Additional identifier for the MeasureReport" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "Allows externally provided and/or usable business identifiers to be easily associated with the module." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.identifier" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Identifier" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.identifier" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.status" ] ;
       fhir:path [ fhir:v "MeasureReport.status" ] ;
       fhir:short [ fhir:v "complete | pending | error" ] ;
       fhir:definition [ fhir:v "The MeasureReport status. No data will be available until the MeasureReport status is complete." ] ;
       fhir:comment [ fhir:v "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.status" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "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" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/binding-definition" ] ;
           fhir:value [ fhir:v "The status of the measure report." ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureReportStatus" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "The status of the measure report (e.g. complete, pending, or error)" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-report-status|6.0.0-ballot1" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.status" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "status" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.type" ] ;
       fhir:path [ fhir:v "MeasureReport.type" ] ;
       fhir:short [ fhir:v "individual | subject-list | summary | data-exchange" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:comment [ fhir:v "Data-exchange 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." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.type" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-1" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/binding-definition" ] ;
           fhir:value [ fhir:v "The type of the measure report." ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureReportType" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "The type of the measure report: individual, patient listing, or summary" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-report-type|6.0.0-ballot1" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.class" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "methodCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.dataUpdateType" ] ;
       fhir:path [ fhir:v "MeasureReport.dataUpdateType" ] ;
       fhir:short [ fhir:v "incremental | snapshot" ] ;
       fhir:definition [ fhir:v "Indicates whether the data submitted in a data-exchange report represents a snapshot or incremental update. A snapshot update replaces all previously submitted data for the receiver, whereas an incremental update represents only updated and/or changed data and should be applied as a differential update to the existing submitted data for the receiver." ] ;
       fhir:comment [ fhir:v "This element only applies to Data-collection reports used to communicate the data-of-interest for a measure" ] ;
       fhir:requirements [ fhir:v "Allows receiving systems to support incremental exchange of data, reducing overall bandwidth requirements." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.dataUpdateType" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "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" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "SubmitDataUpdateType" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/submit-data-update-type|6.0.0-ballot1" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.measure" ] ;
       fhir:path [ fhir:v "MeasureReport.measure" ] ;
       fhir:short [ fhir:v "What measure was calculated" ] ;
       fhir:definition [ fhir:v "A reference to the Measure that was calculated to produce this report." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.measure" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "canonical" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Measure" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.what[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.subject" ] ;
       fhir:path [ fhir:v "MeasureReport.subject" ] ;
       fhir:short [ fhir:v "What individual(s) the report is for" ] ;
       fhir:definition [ fhir:v "Optional subject identifying the individual or individuals the report is for." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.subject" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/CareTeam" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/HealthcareService" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.date" ] ;
       fhir:path [ fhir:v "MeasureReport.date" ] ;
       fhir:short [ fhir:v "When the measure was calculated" ] ;
       fhir:definition [ fhir:v "The date this measure was calculated." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.date" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "dateTime" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.recorded" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=AUT].time" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.reporter" ] ;
       fhir:path [ fhir:v "MeasureReport.reporter" ] ;
       fhir:short [ fhir:v "Who is reporting the data" ] ;
       fhir:definition [ fhir:v "The individual or organization that is reporting the data." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.reporter" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.source" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=PRF]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.reportingVendor" ] ;
       fhir:path [ fhir:v "MeasureReport.reportingVendor" ] ;
       fhir:short [ fhir:v "What vendor prepared the data" ] ;
       fhir:definition [ fhir:v "A reference to the vendor who queried the data, calculated results and/or generated the report. The ‘reporting vendor’ is intended to represent the submitting entity when it is not the same as the reporting entity. This extension is used when the Receiver is interested in getting vendor information in the report." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.reportingVendor" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=PRF]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.location" ] ;
       fhir:path [ fhir:v "MeasureReport.location" ] ;
       fhir:short [ fhir:v "Where the reported data is from" ] ;
       fhir:definition [ fhir:v "A reference to the location for which the data is being reported." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.location" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=PRF]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.period" ] ;
       fhir:path [ fhir:v "MeasureReport.period" ] ;
       fhir:short [ fhir:v "What period the report covers" ] ;
       fhir:definition [ fhir:v "The reporting period for which the report was calculated." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.period" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Period" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "effectiveTime" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.inputParameters" ] ;
       fhir:path [ fhir:v "MeasureReport.inputParameters" ] ;
       fhir:short [ fhir:v "What parameters were provided to the report" ] ;
       fhir:definition [ fhir:v "A reference to a Parameters resource (typically represented using a contained resource) that represents any input parameters that were provided to the operation that generated the report." ] ;
       fhir:comment [ fhir:v "Whenever an operation returns a MeasureReport, the IN parameters from that operation can be returned to the caller of the operation using MeasureReport.inputParameters. Operations include but are not limited to $evaluate-measure, $care-gaps, $data-requirements, and $collect-data. The inputParameters can also be used in a MeasureReport used to define a test case (i.e., not as a result of an operation)." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.inputParameters" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Parameters" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.scoring" ] ;
       fhir:path [ fhir:v "MeasureReport.scoring" ] ;
       fhir:short [ fhir:v "What scoring method (e.g. proportion, ratio, continuous-variable)" ] ;
       fhir:definition [ fhir:v "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.scoring" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Scoring determines what method was used to calculate the measure score and is required for correct interpretation of the score" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureScoring" ]
         ] ) ;
         fhir:strength [ fhir:v "extensible" ] ;
         fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-scoring" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "methodCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.improvementNotation" ] ;
       fhir:path [ fhir:v "MeasureReport.improvementNotation" ] ;
       fhir:short [ fhir:v "increase | decrease" ] ;
       fhir:definition [ fhir:v "Whether improvement in the measure is noted by an increase or decrease in the measure score." ] ;
       fhir:comment [ fhir:v "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. Note also that a MeasureReport instance includes the improvementNotation as defined by the Measure being reported. It is duplicated in the MeasureReport because it is a critical aspect of interpreting the measure score but it is not intended to reflect whether the measure report is an increase or decrease. It helps interpret if the measure score is an increase or decrease, I.e., moving in the direction of the desired outcome." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.improvementNotation" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement)" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/binding-definition" ] ;
           fhir:value [ fhir:v "Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue." ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureImprovementNotation" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "The improvement notation of the measure report (e.g. increase or decrease)" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-improvement-notation|6.0.0-ballot1" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "interpretationCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group" ] ;
       fhir:path [ fhir:v "MeasureReport.group" ] ;
       fhir:short [ fhir:v "Measure results for each group" ] ;
       fhir:definition [ fhir:v "The results of the calculation, one for each population group in the measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] [ fhir:v "mrp-1" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.id" ] ;
       fhir:path [ fhir:v "MeasureReport.group.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "string" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.extension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.modifierExtension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific group from Measure" ] ;
       fhir:definition [ fhir:v "The group from the Measure that corresponds to this group in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.linkId" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.code" ] ;
       fhir:short [ fhir:v "Meaning of the group" ] ;
       fhir:definition [ fhir:v "The meaning of the population group as defined in the measure definition." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.code" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureGroupExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "Example of measure groups." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-group-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.subject" ] ;
       fhir:path [ fhir:v "MeasureReport.group.subject" ] ;
       fhir:short [ fhir:v "What individual(s) the report is for" ] ;
       fhir:definition [ fhir:v "Optional subject identifying the individual or individuals the report is for." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.subject" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/CareTeam" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/HealthcareService" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population" ] ;
       fhir:short [ fhir:v "The populations in the group" ] ;
       fhir:definition [ fhir:v "The populations that make up the population group, one for each type of population appropriate for the measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.population" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.id" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "string" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.extension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.modifierExtension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific population from Measure" ] ;
       fhir:definition [ fhir:v "The population from the Measure that corresponds to this population in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.population.linkId" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.code" ] ;
       fhir:short [ fhir:v "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation" ] ;
       fhir:definition [ fhir:v "The type of the population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.population.code" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasurePopulation" ]
         ] ) ;
         fhir:strength [ fhir:v "extensible" ] ;
         fhir:description [ fhir:v "The type of population (e.g. initial, numerator, denominator, etc.)." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-population" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.count" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.count" ] ;
       fhir:short [ fhir:v "Size of the population" ] ;
       fhir:definition [ fhir:v "The number of members of the population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.population.count" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "integer" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.subjectResults" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.subjectResults" ] ;
       fhir:short [ fhir:v "For subject-list reports, the subject results in this population" ] ;
       fhir:definition [ fhir:v "This element refers to a List of individual level MeasureReport resources, one for each subject in this population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.population.subjectResults" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/List" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.subjectReport" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.subjectReport" ] ;
       fhir:short [ fhir:v "For subject-list reports, a subject result in this population" ] ;
       fhir:definition [ fhir:v "A reference to an individual level MeasureReport resource for a member of the population." ] ;
       fhir:comment [ fhir:v "This element SHALL NOT be used in with subjectResults, either systems provide results as a List of MeasureReport, or as references to individual MeasureReports. Note that using this element introduces a constraint on the size of the subject-list MeasureReport; implementations would be free to return a TOO-COSTLY response if a request is made for a subject-list report with too many subjects." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.population.subjectReport" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.subjects" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.subjects" ] ;
       fhir:short [ fhir:v "What individual(s) in the population" ] ;
       fhir:definition [ fhir:v "Optional Group identifying the individuals that make up the population." ] ;
       fhir:comment [ fhir:v "Note that this element can only be used for summary and subject-list reports where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group resource SHALL be an actual (as opposed to a definitional) group." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.population.subjects" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.measureScore[x]" ] ;
       fhir:path [ fhir:v "MeasureReport.group.measureScore[x]" ] ;
       fhir:short [ fhir:v "What score this group achieved" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.measureScore[x]" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Quantity" ]
       ] [
         fhir:code [ fhir:v "dateTime" ]
       ] [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] [
         fhir:code [ fhir:v "Period" ]
       ] [
         fhir:code [ fhir:v "Range" ]
       ] [
         fhir:code [ fhir:v "Duration" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier" ] ;
       fhir:short [ fhir:v "Stratification results" ] ;
       fhir:definition [ fhir:v "When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.id" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "string" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.extension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.modifierExtension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific stratifier from Measure" ] ;
       fhir:definition [ fhir:v "The stratifier from the Measure that corresponds to this stratifier in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.linkId" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.code" ] ;
       fhir:short [ fhir:v "What stratifier of the group" ] ;
       fhir:definition [ fhir:v "The meaning of this stratifier, as defined in the measure definition." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.code" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureStratifierExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "Meaning of the stratifier." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-stratifier-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum" ] ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ] ;
         fhir:value [ fhir:v "StratifierGroup" ]
       ] ) ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum" ] ;
       fhir:short [ fhir:v "Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.id" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "string" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.extension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.modifierExtension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.value[x]" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.value[x]" ] ;
       fhir:short [ fhir:v "The stratum value, e.g. male" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.value[x]" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] [
         fhir:code [ fhir:v "boolean" ]
       ] [
         fhir:code [ fhir:v "Quantity" ]
       ] [
         fhir:code [ fhir:v "Range" ]
       ] [
         fhir:code [ fhir:v "Reference" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureReportStratifierValueExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measurereport-stratifier-value-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP].value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component" ] ;
       fhir:short [ fhir:v "Stratifier component values" ] ;
       fhir:definition [ fhir:v "A stratifier component value." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.id" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "string" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.extension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.modifierExtension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific stratifier component from Measure" ] ;
       fhir:definition [ fhir:v "The stratifier component from the Measure that corresponds to this stratifier component in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.linkId" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.code" ] ;
       fhir:short [ fhir:v "What stratifier component of the group" ] ;
       fhir:definition [ fhir:v "The code for the stratum component value." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.code" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureStratifierExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "Meaning of the stratifier." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-stratifier-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.value[x]" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.value[x]" ] ;
       fhir:short [ fhir:v "The stratum component value, e.g. male" ] ;
       fhir:definition [ fhir:v "The stratum component value." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.value[x]" ] ;
         fhir:min [ fhir:v "1" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] [
         fhir:code [ fhir:v "boolean" ]
       ] [
         fhir:code [ fhir:v "Quantity" ]
       ] [
         fhir:code [ fhir:v "Range" ]
       ] [
         fhir:code [ fhir:v "Reference" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureReportStratifierValueExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measurereport-stratifier-value-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP].value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population" ] ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ] ;
         fhir:value [ fhir:v "StratifierGroupPopulation" ]
       ] ) ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population" ] ;
       fhir:short [ fhir:v "Population results in this stratum" ] ;
       fhir:definition [ fhir:v "The populations that make up the stratum, one for each type of population appropriate to the measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.id" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.id" ] ;
       fhir:representation ( [ fhir:v "xmlAttr" ] ) ;
       fhir:short [ fhir:v "Unique id for inter-element referencing" ] ;
       fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.id" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:value [ fhir:v "string" ]
         ] ) ;
         fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String" ]
       ] ) ;
       fhir:condition ( [ fhir:v "ele-1" ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.extension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.extension" ] ;
       fhir:short [ fhir:v "Additional content defined by implementations" ] ;
       fhir:definition [ fhir:v "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 managable, 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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "Element.extension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "n/a" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.modifierExtension" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.modifierExtension" ] ;
       fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:definition [ fhir:v "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 managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "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](extensibility.html#modifierExtension)." ] ;
       fhir:alias ( [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Extension" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific population from Measure" ] ;
       fhir:definition [ fhir:v "The population from the Measure that corresponds to this population in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.linkId" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.code" ] ;
       fhir:short [ fhir:v "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation" ] ;
       fhir:definition [ fhir:v "The type of the population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.code" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasurePopulation" ]
         ] ) ;
         fhir:strength [ fhir:v "extensible" ] ;
         fhir:description [ fhir:v "The type of population (e.g. initial, numerator, denominator, etc.)." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-population" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.count" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.count" ] ;
       fhir:short [ fhir:v "Size of the population" ] ;
       fhir:definition [ fhir:v "The number of members of the population in this stratum." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.count" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "integer" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectResults" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectResults" ] ;
       fhir:short [ fhir:v "For subject-list reports, the subject results in this population" ] ;
       fhir:definition [ fhir:v "This element refers to a List of individual level MeasureReport resources, one for each subject in this population in this stratum." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectResults" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/List" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectReport" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectReport" ] ;
       fhir:short [ fhir:v "For subject-list reports, a subject result in this population" ] ;
       fhir:definition [ fhir:v "A reference to an individual level MeasureReport resource for a member of the population." ] ;
       fhir:comment [ fhir:v "This element SHALL NOT be used in with subjectResults, either systems provide results as a List of MeasureReport, or as references to individual MeasureReports. Note that using this element introduces a constraint on the size of the subject-list MeasureReport; implementations would be free to return a TOO-COSTLY response if a request is made for a subject-list report with too many subjects." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectReport" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjects" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjects" ] ;
       fhir:short [ fhir:v "What individual(s) in the population" ] ;
       fhir:definition [ fhir:v "Optional Group identifying the individuals that make up the population." ] ;
       fhir:comment [ fhir:v "Note that this element can only be used for summary and subject-list reports where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group SHALL be an actual (as opposed to a definitional) group." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjects" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.measureScore[x]" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.measureScore[x]" ] ;
       fhir:short [ fhir:v "What score this stratum achieved" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.measureScore[x]" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "1" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Quantity" ]
       ] [
         fhir:code [ fhir:v "dateTime" ]
       ] [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] [
         fhir:code [ fhir:v "Period" ]
       ] [
         fhir:code [ fhir:v "Range" ]
       ] [
         fhir:code [ fhir:v "Duration" ]
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.supplementalData" ] ;
       fhir:path [ fhir:v "MeasureReport.supplementalData" ] ;
       fhir:short [ fhir:v "Additional information collected for the report" ] ;
       fhir:definition [ fhir:v "A reference to a Resource that represents additional information collected for the report. If the value of the supplemental data is not a Resource (i.e. evaluating the supplementalData expression for this case in the measure results in a value that is not a FHIR Resource), it is reported as a reference to a contained Observation resource." ] ;
       fhir:comment [ fhir:v "For individual measure reports, the supplementalData elements represent the direct result of evaluating the supplementalData expression for the subject of the report. For summary reports, supplementalData is reported as references to contained Observation resources that represent the number of times each value appeared as a supplementalData result for members of the population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.supplementalData" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".targetObservation" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.evaluatedResource" ] ;
       fhir:path [ fhir:v "MeasureReport.evaluatedResource" ] ;
       fhir:short [ fhir:v "What data was used to calculate the measure score" ] ;
       fhir:definition [ fhir:v "Evaluated resources are used to capture what data was involved in the calculation of a measure. This usage is only allowed for individual reports to ensure that the size of the MeasureReport resource is bounded." ] ;
       fhir:comment [ fhir:v "Evaluated resources are only reported for individual reports." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:base [
         fhir:path [ fhir:v "MeasureReport.evaluatedResource" ] ;
         fhir:min [ fhir:v "0" ] ;
         fhir:max [ fhir:v "*" ]
       ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
       ] ) ;
       fhir:constraint ( [
         fhir:key [ fhir:v "ele-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ;
         fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".targetObservation" ]
       ] )
     ] )
  ] ;
  fhir:differential [
     fhir:element ( [
       fhir:id [ fhir:v "MeasureReport" ] ;
       fhir:path [ fhir:v "MeasureReport" ] ;
       fhir:short [ fhir:v "Results of a measure evaluation" ] ;
       fhir:definition [ fhir:v "The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:constraint ( [
         fhir:key [ fhir:v "mrp-2" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Stratifiers SHALL be either a single criteria or a set of criteria components" ] ;
         fhir:expression [ fhir:v "group.stratifier.stratum.all(value.exists() xor component.exists())" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport" ]
       ] [
         fhir:key [ fhir:v "mrp-1" ] ;
         fhir:severity [ fhir:v "error" ] ;
         fhir:human [ fhir:v "Measure Reports used for data collection SHALL NOT communicate group and score information" ] ;
         fhir:expression [ fhir:v "(type != 'data-exchange') or group.exists().not()" ] ;
         fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "clinical.general" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "Observation[classCode=OBS, moodCode=EVN]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.identifier" ] ;
       fhir:path [ fhir:v "MeasureReport.identifier" ] ;
       fhir:short [ fhir:v "Additional identifier for the MeasureReport" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:comment [ fhir:v "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." ] ;
       fhir:requirements [ fhir:v "Allows externally provided and/or usable business identifiers to be easily associated with the module." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Identifier" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.identifier" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.status" ] ;
       fhir:path [ fhir:v "MeasureReport.status" ] ;
       fhir:short [ fhir:v "complete | pending | error" ] ;
       fhir:definition [ fhir:v "The MeasureReport status. No data will be available until the MeasureReport status is complete." ] ;
       fhir:comment [ fhir:v "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "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" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/binding-definition" ] ;
           fhir:value [ fhir:v "The status of the measure report." ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureReportStatus" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "The status of the measure report (e.g. complete, pending, or error)" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-report-status|6.0.0-ballot1" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.status" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "status" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.type" ] ;
       fhir:path [ fhir:v "MeasureReport.type" ] ;
       fhir:short [ fhir:v "individual | subject-list | summary | data-exchange" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:comment [ fhir:v "Data-exchange 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." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-1" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/binding-definition" ] ;
           fhir:value [ fhir:v "The type of the measure report." ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureReportType" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "The type of the measure report: individual, patient listing, or summary" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-report-type|6.0.0-ballot1" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.class" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "methodCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.dataUpdateType" ] ;
       fhir:path [ fhir:v "MeasureReport.dataUpdateType" ] ;
       fhir:short [ fhir:v "incremental | snapshot" ] ;
       fhir:definition [ fhir:v "Indicates whether the data submitted in a data-exchange report represents a snapshot or incremental update. A snapshot update replaces all previously submitted data for the receiver, whereas an incremental update represents only updated and/or changed data and should be applied as a differential update to the existing submitted data for the receiver." ] ;
       fhir:comment [ fhir:v "This element only applies to Data-collection reports used to communicate the data-of-interest for a measure" ] ;
       fhir:requirements [ fhir:v "Allows receiving systems to support incremental exchange of data, reducing overall bandwidth requirements." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "code" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "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" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "SubmitDataUpdateType" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/submit-data-update-type|6.0.0-ballot1" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.measure" ] ;
       fhir:path [ fhir:v "MeasureReport.measure" ] ;
       fhir:short [ fhir:v "What measure was calculated" ] ;
       fhir:definition [ fhir:v "A reference to the Measure that was calculated to produce this report." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "canonical" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Measure" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.what[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.subject" ] ;
       fhir:path [ fhir:v "MeasureReport.subject" ] ;
       fhir:short [ fhir:v "What individual(s) the report is for" ] ;
       fhir:definition [ fhir:v "Optional subject identifying the individual or individuals the report is for." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/CareTeam" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/HealthcareService" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.date" ] ;
       fhir:path [ fhir:v "MeasureReport.date" ] ;
       fhir:short [ fhir:v "When the measure was calculated" ] ;
       fhir:definition [ fhir:v "The date this measure was calculated." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "dateTime" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.recorded" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=AUT].time" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.reporter" ] ;
       fhir:path [ fhir:v "MeasureReport.reporter" ] ;
       fhir:short [ fhir:v "Who is reporting the data" ] ;
       fhir:definition [ fhir:v "The individual or organization that is reporting the data." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.source" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=PRF]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.reportingVendor" ] ;
       fhir:path [ fhir:v "MeasureReport.reportingVendor" ] ;
       fhir:short [ fhir:v "What vendor prepared the data" ] ;
       fhir:definition [ fhir:v "A reference to the vendor who queried the data, calculated results and/or generated the report. The ‘reporting vendor’ is intended to represent the submitting entity when it is not the same as the reporting entity. This extension is used when the Receiver is interested in getting vendor information in the report." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=PRF]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.location" ] ;
       fhir:path [ fhir:v "MeasureReport.location" ] ;
       fhir:short [ fhir:v "Where the reported data is from" ] ;
       fhir:definition [ fhir:v "A reference to the location for which the data is being reported." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=PRF]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.period" ] ;
       fhir:path [ fhir:v "MeasureReport.period" ] ;
       fhir:short [ fhir:v "What period the report covers" ] ;
       fhir:definition [ fhir:v "The reporting period for which the report was calculated." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Period" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "effectiveTime" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.inputParameters" ] ;
       fhir:path [ fhir:v "MeasureReport.inputParameters" ] ;
       fhir:short [ fhir:v "What parameters were provided to the report" ] ;
       fhir:definition [ fhir:v "A reference to a Parameters resource (typically represented using a contained resource) that represents any input parameters that were provided to the operation that generated the report." ] ;
       fhir:comment [ fhir:v "Whenever an operation returns a MeasureReport, the IN parameters from that operation can be returned to the caller of the operation using MeasureReport.inputParameters. Operations include but are not limited to $evaluate-measure, $care-gaps, $data-requirements, and $collect-data. The inputParameters can also be used in a MeasureReport used to define a test case (i.e., not as a result of an operation)." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Parameters" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "N/A" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.scoring" ] ;
       fhir:path [ fhir:v "MeasureReport.scoring" ] ;
       fhir:short [ fhir:v "What scoring method (e.g. proportion, ratio, continuous-variable)" ] ;
       fhir:definition [ fhir:v "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Scoring determines what method was used to calculate the measure score and is required for correct interpretation of the score" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureScoring" ]
         ] ) ;
         fhir:strength [ fhir:v "extensible" ] ;
         fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-scoring" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "methodCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.improvementNotation" ] ;
       fhir:path [ fhir:v "MeasureReport.improvementNotation" ] ;
       fhir:short [ fhir:v "increase | decrease" ] ;
       fhir:definition [ fhir:v "Whether improvement in the measure is noted by an increase or decrease in the measure score." ] ;
       fhir:comment [ fhir:v "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. Note also that a MeasureReport instance includes the improvementNotation as defined by the Measure being reported. It is duplicated in the MeasureReport because it is a critical aspect of interpreting the measure score but it is not intended to reflect whether the measure report is an increase or decrease. It helps interpret if the measure score is an increase or decrease, I.e., moving in the direction of the desired outcome." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "true" ] ;
       fhir:isModifierReason [ fhir:v "Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement)" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/tools/StructureDefinition/binding-definition" ] ;
           fhir:value [ fhir:v "Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue." ]
         ] [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureImprovementNotation" ]
         ] ) ;
         fhir:strength [ fhir:v "required" ] ;
         fhir:description [ fhir:v "The improvement notation of the measure report (e.g. increase or decrease)" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-improvement-notation|6.0.0-ballot1" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "interpretationCode" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group" ] ;
       fhir:path [ fhir:v "MeasureReport.group" ] ;
       fhir:short [ fhir:v "Measure results for each group" ] ;
       fhir:definition [ fhir:v "The results of the calculation, one for each population group in the measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] [ fhir:v "mrp-1" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific group from Measure" ] ;
       fhir:definition [ fhir:v "The group from the Measure that corresponds to this group in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.code" ] ;
       fhir:short [ fhir:v "Meaning of the group" ] ;
       fhir:definition [ fhir:v "The meaning of the population group as defined in the measure definition." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureGroupExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "Example of measure groups." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-group-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.subject" ] ;
       fhir:path [ fhir:v "MeasureReport.group.subject" ] ;
       fhir:short [ fhir:v "What individual(s) the report is for" ] ;
       fhir:definition [ fhir:v "Optional subject identifying the individual or individuals the report is for." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/CareTeam" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Device" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/HealthcareService" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Location" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Organization" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Patient" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/Practitioner" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/PractitionerRole" ] [ fhir:v "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population" ] ;
       fhir:short [ fhir:v "The populations in the group" ] ;
       fhir:definition [ fhir:v "The populations that make up the population group, one for each type of population appropriate for the measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific population from Measure" ] ;
       fhir:definition [ fhir:v "The population from the Measure that corresponds to this population in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.code" ] ;
       fhir:short [ fhir:v "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation" ] ;
       fhir:definition [ fhir:v "The type of the population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasurePopulation" ]
         ] ) ;
         fhir:strength [ fhir:v "extensible" ] ;
         fhir:description [ fhir:v "The type of population (e.g. initial, numerator, denominator, etc.)." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-population" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.count" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.count" ] ;
       fhir:short [ fhir:v "Size of the population" ] ;
       fhir:definition [ fhir:v "The number of members of the population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "integer" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.subjectResults" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.subjectResults" ] ;
       fhir:short [ fhir:v "For subject-list reports, the subject results in this population" ] ;
       fhir:definition [ fhir:v "This element refers to a List of individual level MeasureReport resources, one for each subject in this population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/List" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.subjectReport" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.subjectReport" ] ;
       fhir:short [ fhir:v "For subject-list reports, a subject result in this population" ] ;
       fhir:definition [ fhir:v "A reference to an individual level MeasureReport resource for a member of the population." ] ;
       fhir:comment [ fhir:v "This element SHALL NOT be used in with subjectResults, either systems provide results as a List of MeasureReport, or as references to individual MeasureReports. Note that using this element introduces a constraint on the size of the subject-list MeasureReport; implementations would be free to return a TOO-COSTLY response if a request is made for a subject-list report with too many subjects." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.population.subjects" ] ;
       fhir:path [ fhir:v "MeasureReport.group.population.subjects" ] ;
       fhir:short [ fhir:v "What individual(s) in the population" ] ;
       fhir:definition [ fhir:v "Optional Group identifying the individuals that make up the population." ] ;
       fhir:comment [ fhir:v "Note that this element can only be used for summary and subject-list reports where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group resource SHALL be an actual (as opposed to a definitional) group." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.measureScore[x]" ] ;
       fhir:path [ fhir:v "MeasureReport.group.measureScore[x]" ] ;
       fhir:short [ fhir:v "What score this group achieved" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Quantity" ]
       ] [
         fhir:code [ fhir:v "dateTime" ]
       ] [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] [
         fhir:code [ fhir:v "Period" ]
       ] [
         fhir:code [ fhir:v "Range" ]
       ] [
         fhir:code [ fhir:v "Duration" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "true" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier" ] ;
       fhir:short [ fhir:v "Stratification results" ] ;
       fhir:definition [ fhir:v "When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific stratifier from Measure" ] ;
       fhir:definition [ fhir:v "The stratifier from the Measure that corresponds to this stratifier in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.code" ] ;
       fhir:short [ fhir:v "What stratifier of the group" ] ;
       fhir:definition [ fhir:v "The meaning of this stratifier, as defined in the measure definition." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureStratifierExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "Meaning of the stratifier." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-stratifier-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum" ] ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ] ;
         fhir:value [ fhir:v "StratifierGroup" ]
       ] ) ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum" ] ;
       fhir:short [ fhir:v "Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.value[x]" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.value[x]" ] ;
       fhir:short [ fhir:v "The stratum value, e.g. male" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] [
         fhir:code [ fhir:v "boolean" ]
       ] [
         fhir:code [ fhir:v "Quantity" ]
       ] [
         fhir:code [ fhir:v "Range" ]
       ] [
         fhir:code [ fhir:v "Reference" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureReportStratifierValueExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measurereport-stratifier-value-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP].value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component" ] ;
       fhir:short [ fhir:v "Stratifier component values" ] ;
       fhir:definition [ fhir:v "A stratifier component value." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:condition ( [ fhir:v "mrp-2" ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific stratifier component from Measure" ] ;
       fhir:definition [ fhir:v "The stratifier component from the Measure that corresponds to this stratifier component in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.code" ] ;
       fhir:short [ fhir:v "What stratifier component of the group" ] ;
       fhir:definition [ fhir:v "The code for the stratum component value." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureStratifierExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:description [ fhir:v "Meaning of the stratifier." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-stratifier-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.component.value[x]" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.component.value[x]" ] ;
       fhir:short [ fhir:v "The stratum component value, e.g. male" ] ;
       fhir:definition [ fhir:v "The stratum component value." ] ;
       fhir:min [ fhir:v "1" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] [
         fhir:code [ fhir:v "boolean" ]
       ] [
         fhir:code [ fhir:v "Quantity" ]
       ] [
         fhir:code [ fhir:v "Range" ]
       ] [
         fhir:code [ fhir:v "Reference" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasureReportStratifierValueExample" ]
         ] ) ;
         fhir:strength [ fhir:v "example" ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measurereport-stratifier-value-example" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP].value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population" ] ;
       fhir:extension ( [
         fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ] ;
         fhir:value [ fhir:v "StratifierGroupPopulation" ]
       ] ) ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population" ] ;
       fhir:short [ fhir:v "Population results in this stratum" ] ;
       fhir:definition [ fhir:v "The populations that make up the stratum, one for each type of population appropriate to the measure." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "BackboneElement" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=COMP]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.linkId" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.linkId" ] ;
       fhir:short [ fhir:v "Pointer to specific population from Measure" ] ;
       fhir:definition [ fhir:v "The population from the Measure that corresponds to this population in the MeasureReport resource." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "string" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.code" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.code" ] ;
       fhir:short [ fhir:v "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation" ] ;
       fhir:definition [ fhir:v "The type of the population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:binding [
         fhir:extension ( [
           fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
           fhir:value [ fhir:v "MeasurePopulation" ]
         ] ) ;
         fhir:strength [ fhir:v "extensible" ] ;
         fhir:description [ fhir:v "The type of population (e.g. initial, numerator, denominator, etc.)." ] ;
         fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/measure-population" ]
       ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "code" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.count" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.count" ] ;
       fhir:short [ fhir:v "Size of the population" ] ;
       fhir:definition [ fhir:v "The number of members of the population in this stratum." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "integer" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectResults" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectResults" ] ;
       fhir:short [ fhir:v "For subject-list reports, the subject results in this population" ] ;
       fhir:definition [ fhir:v "This element refers to a List of individual level MeasureReport resources, one for each subject in this population in this stratum." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/List" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectReport" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjectReport" ] ;
       fhir:short [ fhir:v "For subject-list reports, a subject result in this population" ] ;
       fhir:definition [ fhir:v "A reference to an individual level MeasureReport resource for a member of the population." ] ;
       fhir:comment [ fhir:v "This element SHALL NOT be used in with subjectResults, either systems provide results as a List of MeasureReport, or as references to individual MeasureReports. Note that using this element introduces a constraint on the size of the subject-list MeasureReport; implementations would be free to return a TOO-COSTLY response if a request is made for a subject-list report with too many subjects." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/MeasureReport" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "outboundRelationship[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjects" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.population.subjects" ] ;
       fhir:short [ fhir:v "What individual(s) in the population" ] ;
       fhir:definition [ fhir:v "Optional Group identifying the individuals that make up the population." ] ;
       fhir:comment [ fhir:v "Note that this element can only be used for summary and subject-list reports where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group SHALL be an actual (as opposed to a definitional) group." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "w5" ] ;
         fhir:map [ fhir:v "FiveWs.subject[x]" ]
       ] [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "participation[typeCode=SBJ]" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.group.stratifier.stratum.measureScore[x]" ] ;
       fhir:path [ fhir:v "MeasureReport.group.stratifier.stratum.measureScore[x]" ] ;
       fhir:short [ fhir:v "What score this stratum achieved" ] ;
       fhir:definition [ fhir:v "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." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "1" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Quantity" ]
       ] [
         fhir:code [ fhir:v "dateTime" ]
       ] [
         fhir:code [ fhir:v "CodeableConcept" ]
       ] [
         fhir:code [ fhir:v "Period" ]
       ] [
         fhir:code [ fhir:v "Range" ]
       ] [
         fhir:code [ fhir:v "Duration" ]
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v "value" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.supplementalData" ] ;
       fhir:path [ fhir:v "MeasureReport.supplementalData" ] ;
       fhir:short [ fhir:v "Additional information collected for the report" ] ;
       fhir:definition [ fhir:v "A reference to a Resource that represents additional information collected for the report. If the value of the supplemental data is not a Resource (i.e. evaluating the supplementalData expression for this case in the measure results in a value that is not a FHIR Resource), it is reported as a reference to a contained Observation resource." ] ;
       fhir:comment [ fhir:v "For individual measure reports, the supplementalData elements represent the direct result of evaluating the supplementalData expression for the subject of the report. For summary reports, supplementalData is reported as references to contained Observation resources that represent the number of times each value appeared as a supplementalData result for members of the population." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".targetObservation" ]
       ] )
     ] [
       fhir:id [ fhir:v "MeasureReport.evaluatedResource" ] ;
       fhir:path [ fhir:v "MeasureReport.evaluatedResource" ] ;
       fhir:short [ fhir:v "What data was used to calculate the measure score" ] ;
       fhir:definition [ fhir:v "Evaluated resources are used to capture what data was involved in the calculation of a measure. This usage is only allowed for individual reports to ensure that the size of the MeasureReport resource is bounded." ] ;
       fhir:comment [ fhir:v "Evaluated resources are only reported for individual reports." ] ;
       fhir:min [ fhir:v "0" ] ;
       fhir:max [ fhir:v "*" ] ;
       fhir:type ( [
         fhir:code [ fhir:v "Reference" ] ;
         fhir:targetProfile ( [ fhir:v "http://hl7.org/fhir/StructureDefinition/Resource" ] )
       ] ) ;
       fhir:mustSupport [ fhir:v "false" ] ;
       fhir:isModifier [ fhir:v "false" ] ;
       fhir:isSummary [ fhir:v "false" ] ;
       fhir:mapping ( [
         fhir:identity [ fhir:v "rim" ] ;
         fhir:map [ fhir:v ".targetObservation" ]
       ] )
     ] )
  ] .

# -------------------------------------------------------------------------------------


Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.