HL7.FHIR.US.CQFMEASURES\CQFMPublishableMeasure

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.1.0: STU3 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: CQFMPublishableMeasure

Defining URL:

http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm

Version:

2.1.0

Name:

CQFMPublishableMeasure

Status:

Active as of 2021-04-13T15:56:35+00:00

Definition:

The CQFM Publishable Measure profile defines the minimum expectations to enable appropriate content management, discovery, and utilization of published electronic Clinical Quality Measures (eCQMs)

Publisher:

Clinical Quality Information WG

Source Resource:

XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm

Formal Views of Profile Content

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

Text Summary
Differential Table
Snapshot Table
Snapshot Table (Must Support)
All

This structure is derived from CQFMMeasure

Summary

Mandatory: 25 elements (12 nested mandatory elements)
Must-Support: 56 elements
Fixed Value: 10 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Measure.identifier is sliced based on the value of value:type
The element Measure.useContext is sliced based on the value of value:code
The element Measure.relatedArtifact is sliced based on the value of value:type

This structure is derived from CQFMMeasure

Name	Flags	Card.	Type	Description & Constraints
Measure		1..1	CQFMMeasure	A quality measure definition
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
cqfm-allocation	S	0..1	markdown	Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
identifier	S	0..*	(Slice Definition)	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	S	1..1	Identifier	Measure guid
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
system	S	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	S	1..1	string	The value that is unique
identifier:versionSpecificIdentifier	S	1..1	Identifier	Measure version guid
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
system	S	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	S	1..1	string	The value that is unique
identifier:shortName	S	1..1	Identifier	Short name
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: usual
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
value	S	1..1	string	The value that is unique
identifier:endorserIdentifier	S	0..*	Identifier	Endorser identifier
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
system	S	0..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
assigner	S	1..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:publisherIdentifier	S	0..*	Identifier	Publisher identifier
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
system	S	0..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
assigner	S	1..1	Reference(Organization)	Organization that issued id (may be just text)
title	S	1..1	string	Name for this measure (human friendly)
status		1..1	code	draft \| active \| retired \| unknown Fixed Value: active
date	S	1..1	dateTime	Date last changed
publisher		1..1	string	Name of the publisher (organization or individual)
contact	S	1..*	ContactDetail	Contact details for the publisher
useContext	S	0..*	(Slice Definition)	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:qualityProgram	S	1..1	UsageContext	The context that the content is intended to support
code	S	1..1	Coding	Type of context being specified Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: program
value[x]	S	1..1	CodeableConcept	Value that defines the context Binding: Quality Programs (extensible): The quality programs
purpose	S	0..1	markdown	Why this measure is defined
usage	S	0..1	string	Describes the clinical usage of the measure
copyright	S	0..1	markdown	Use and/or publishing restrictions
approvalDate	S	1..1	date	When the measure was approved by publisher
lastReviewDate	S	1..1	date	When the measure was last reviewed
effectivePeriod	S	0..1	Period	When the measure is expected to be used
cqfm-effectivePeriodAnchor	S	0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
cqfm-effectivePeriodDuration	S	0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
topic	S	0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc.
author	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
relatedArtifact	S	0..*	(Slice Definition)	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:predecessor	S	0..1	RelatedArtifact	Previous measure?
type	S	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Fixed Value: predecessor
resource	S	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation	S	0..*	RelatedArtifact	Reference/citation
cqfm-isPrimaryCitation		0..1	boolean	Primary reference URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation
cqfm-publicationStatus		0..1	code	Publication status of referenced artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact
cqfm-publicationDate		0..1	date	Publication date of referenced artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate
type	S	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Fixed Value: citation
disclaimer	S	0..1	markdown	Disclaimer for use of the measure or its referenced content
rationale		0..1	markdown	Detailed description of why the measure exists
definition		0..*	markdown	Defined terms used in the measure documentation
cqfm-definitionTerm		1..1	(Complex)	Defined term URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Measure	I	1..1	CQFMMeasure	A quality measure definition
id	Σ	0..1	string	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cqfm-artifactComment	S	0..*	(Complex)	Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
cqfm-allocation	S	0..1	markdown	Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
cqfm-softwaresystem	S	0..*	Reference(CQFMDevice)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	1..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
identifier	SΣ	0..*	(Slice Definition)	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	SΣ	1..1	Identifier	Measure guid
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:versionSpecificIdentifier	SΣ	1..1	Identifier	Measure version guid
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:shortName	SΣ	1..1	Identifier	Short name
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:endorserIdentifier	SΣ	0..*	Identifier	Endorser identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:publisherIdentifier	SΣ	0..*	Identifier	Publisher identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
version	Σ	1..1	string	Business version of the measure
name	ΣI	1..1	string	Name for this measure (computer friendly)
title	SΣ	1..1	string	Name for this measure (human friendly)
subtitle		0..1	string	Subordinate title of the measure
status	?!Σ	1..1	code	draft \| active \| retired \| unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. Fixed Value: active
experimental	Σ	1..1	boolean	For testing purposes, not real usage
subject[x]		0..1		E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	SΣ	1..1	dateTime	Date last changed
publisher	Σ	1..1	string	Name of the publisher (organization or individual)
contact	SΣ	1..*	ContactDetail	Contact details for the publisher
description	Σ	1..1	markdown	Natural language description of the measure
useContext	SΣ	0..*	(Slice Definition)	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:qualityProgram	SΣ	1..1	UsageContext	The context that the content is intended to support
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	SΣ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: program
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	SΣ	1..1	CodeableConcept	Value that defines the context Binding: Quality Programs (extensible): The quality programs
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this measure is defined
usage	S	0..1	string	Describes the clinical usage of the measure
copyright	S	0..1	markdown	Use and/or publishing restrictions
approvalDate	S	1..1	date	When the measure was approved by publisher
lastReviewDate	S	1..1	date	When the measure was last reviewed
effectivePeriod	SΣ	0..1	Period	When the measure is expected to be used
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
cqfm-effectivePeriodAnchor	S	0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
cqfm-effectivePeriodDuration	S	0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
start	ΣI	0..1	dateTime	Starting time with inclusive boundary
end	ΣI	0..1	dateTime	End time with inclusive boundary, if not ongoing
topic	S	0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
relatedArtifact	S	0..*	(Slice Definition)	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:predecessor	S	0..1	RelatedArtifact	Previous measure?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	SΣ	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor
label	Σ	0..1	string	Short label
display	Σ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	Σ	0..1	Attachment	What document is being referenced
resource	SΣ	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation	S	0..*	RelatedArtifact	Reference/citation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
cqfm-isPrimaryCitation		0..1	boolean	Primary reference URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation
cqfm-publicationStatus		0..1	code	Publication status of referenced artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact
cqfm-publicationDate		0..1	date	Publication date of referenced artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate
type	SΣ	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation
label	Σ	0..1	string	Short label
display	Σ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	Σ	0..1	Attachment	What document is being referenced
resource	Σ	0..1	canonical(Resource)	What resource is being referenced
library	SI	0..1	canonical(Library)	Logic used by the measure cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
disclaimer	SΣ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	SΣ	1..1	CodeableConcept	proportion \| ratio \| continuous-variable \| cohort Binding: MeasureScoring (extensible): The scoring type of the measure.
compositeScoring	Σ	0..1	CodeableConcept	opportunity \| all-or-nothing \| linear \| weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
type	SΣ	1..*	CodeableConcept	process \| outcome \| structure \| patient-reported-outcome \| composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
riskAdjustment	Σ	0..1	string	How risk adjustment is applied for this measure
rateAggregation	Σ	0..1	string	How is rate aggregation performed for this measure
rationale	Σ	0..1	markdown	Detailed description of why the measure exists
clinicalRecommendationStatement	Σ	0..1	markdown	Summary of clinical guidelines
improvementNotation	SΣ	1..1	CodeableConcept	increase \| decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
definition	Σ	0..*	markdown	Defined terms used in the measure documentation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cqfm-definitionTerm		1..1	(Complex)	Defined term URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm
value		0..1	string	Primitive value for markdown
guidance	Σ	0..1	markdown	Additional guidance for implementers
group	S	0..*	BackboneElement	Population criteria group
id	SI	0..1	string	Unique id for inter-element referencing cqm-3: Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the group
description		0..1	string	Summary description
population	S	1..*	BackboneElement	Population criteria
id	S	1..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	initial-population \| numerator \| numerator-exclusion \| denominator \| denominator-exclusion \| denominator-exception \| measure-population \| measure-population-exclusion \| measure-observation Binding: MeasurePopulationType (extensible): The type of population.
description		0..1	string	The human readable description of this population criteria
criteria	SI	1..1	Expression	The criteria that defines this population cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
stratifier	S	0..*	BackboneElement	Stratifier criteria for the measure
id	S	1..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier
description		0..1	string	The human readable description of this stratifier
criteria	SI	0..1	Expression	How the measure should be stratified cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
component		0..*	BackboneElement	Stratifier criteria component for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier component
description		0..1	string	The human readable description of this stratifier component
criteria		1..1	Expression	Component of how the measure should be stratified
supplementalData	SI	0..*	BackboneElement	What other data should be reported with the measure cqm-6: Supplemental data SHALL use either criteria or path
id	S	1..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the supplemental data
usage		0..*	CodeableConcept	supplemental-data \| risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
description		0..1	string	The human readable description of this supplemental data
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Measure	I	1..1	CQFMMeasure	A quality measure definition
meta	Σ	1..1	Meta	Metadata about the resource
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
text		1..1	Narrative	Text summary of the resource, for human interpretation
cqfm-artifactComment		0..*	(Complex)	Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
cqfm-allocation		0..1	markdown	Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
cqfm-softwaresystem		0..*	Reference(CQFMDevice)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
identifier	Σ	0..*	(Slice Definition)	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	Σ	1..1	Identifier	Measure guid
use	?!Σ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique
identifier:versionSpecificIdentifier	Σ	1..1	Identifier	Measure version guid
use	?!Σ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	The value that is unique
identifier:shortName	Σ	1..1	Identifier	Short name
use	?!Σ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
value	Σ	1..1	string	The value that is unique
identifier:endorserIdentifier	Σ	0..*	Identifier	Endorser identifier
use	?!Σ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
system	Σ	0..1	uri	The namespace for the identifier value
value	Σ	1..1	string	The value that is unique
assigner	Σ	1..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:publisherIdentifier	Σ	0..*	Identifier	Publisher identifier
use	?!Σ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
system	Σ	0..1	uri	The namespace for the identifier value
value	Σ	1..1	string	The value that is unique
assigner	Σ	1..1	Reference(Organization)	Organization that issued id (may be just text)
title	Σ	1..1	string	Name for this measure (human friendly)
date	Σ	1..1	dateTime	Date last changed
contact	Σ	1..*	ContactDetail	Contact details for the publisher
useContext	Σ	0..*	(Slice Definition)	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:qualityProgram	Σ	1..1	UsageContext	The context that the content is intended to support
code	Σ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: program
value[x]	Σ	1..1	CodeableConcept	Value that defines the context Binding: Quality Programs (extensible): The quality programs
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose		0..1	markdown	Why this measure is defined
usage		0..1	string	Describes the clinical usage of the measure
copyright		0..1	markdown	Use and/or publishing restrictions
approvalDate		1..1	date	When the measure was approved by publisher
lastReviewDate		1..1	date	When the measure was last reviewed
effectivePeriod	Σ	0..1	Period	When the measure is expected to be used
cqfm-effectivePeriodAnchor		0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
cqfm-effectivePeriodDuration		0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
topic		0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	(Slice Definition)	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:predecessor		0..1	RelatedArtifact	Previous measure?
type	Σ	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor
resource	Σ	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation		0..*	RelatedArtifact	Reference/citation
type	Σ	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation
library	I	0..1	canonical(Library)	Logic used by the measure cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
disclaimer	Σ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	Σ	1..1	CodeableConcept	proportion \| ratio \| continuous-variable \| cohort Binding: MeasureScoring (extensible): The scoring type of the measure.
type	Σ	1..*	CodeableConcept	process \| outcome \| structure \| patient-reported-outcome \| composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
improvementNotation	Σ	1..1	CodeableConcept	increase \| decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group		0..*	BackboneElement	Population criteria group
id	I	0..1	string	Unique id for inter-element referencing cqm-3: Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group
population		1..*	BackboneElement	Population criteria
id		1..1	string	Unique id for inter-element referencing
code		1..1	CodeableConcept	initial-population \| numerator \| numerator-exclusion \| denominator \| denominator-exclusion \| denominator-exception \| measure-population \| measure-population-exclusion \| measure-observation Binding: MeasurePopulationType (extensible): The type of population.
criteria	I	1..1	Expression	The criteria that defines this population cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
stratifier		0..*	BackboneElement	Stratifier criteria for the measure
id		1..1	string	Unique id for inter-element referencing
criteria	I	0..1	Expression	How the measure should be stratified cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
supplementalData	I	0..*	BackboneElement	What other data should be reported with the measure cqm-6: Supplemental data SHALL use either criteria or path
id		1..1	string	Unique id for inter-element referencing
Documentation for this format

This structure is derived from CQFMMeasure

Summary

Mandatory: 25 elements (12 nested mandatory elements)
Must-Support: 56 elements
Fixed Value: 10 elements

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element Measure.identifier is sliced based on the value of value:type
The element Measure.useContext is sliced based on the value of value:code
The element Measure.relatedArtifact is sliced based on the value of value:type

Differential View

This structure is derived from CQFMMeasure

Name	Flags	Card.	Type	Description & Constraints
Measure		1..1	CQFMMeasure	A quality measure definition
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
cqfm-allocation	S	0..1	markdown	Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
identifier	S	0..*	(Slice Definition)	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	S	1..1	Identifier	Measure guid
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
system	S	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	S	1..1	string	The value that is unique
identifier:versionSpecificIdentifier	S	1..1	Identifier	Measure version guid
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
system	S	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	S	1..1	string	The value that is unique
identifier:shortName	S	1..1	Identifier	Short name
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: usual
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
value	S	1..1	string	The value that is unique
identifier:endorserIdentifier	S	0..*	Identifier	Endorser identifier
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
system	S	0..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
assigner	S	1..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:publisherIdentifier	S	0..*	Identifier	Publisher identifier
use	S	1..1	code	usual \| official \| temp \| secondary \| old (If known) Fixed Value: official
type	S	1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
system	S	0..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
assigner	S	1..1	Reference(Organization)	Organization that issued id (may be just text)
title	S	1..1	string	Name for this measure (human friendly)
status		1..1	code	draft \| active \| retired \| unknown Fixed Value: active
date	S	1..1	dateTime	Date last changed
publisher		1..1	string	Name of the publisher (organization or individual)
contact	S	1..*	ContactDetail	Contact details for the publisher
useContext	S	0..*	(Slice Definition)	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:qualityProgram	S	1..1	UsageContext	The context that the content is intended to support
code	S	1..1	Coding	Type of context being specified Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: program
value[x]	S	1..1	CodeableConcept	Value that defines the context Binding: Quality Programs (extensible): The quality programs
purpose	S	0..1	markdown	Why this measure is defined
usage	S	0..1	string	Describes the clinical usage of the measure
copyright	S	0..1	markdown	Use and/or publishing restrictions
approvalDate	S	1..1	date	When the measure was approved by publisher
lastReviewDate	S	1..1	date	When the measure was last reviewed
effectivePeriod	S	0..1	Period	When the measure is expected to be used
cqfm-effectivePeriodAnchor	S	0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
cqfm-effectivePeriodDuration	S	0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
topic	S	0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc.
author	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
relatedArtifact	S	0..*	(Slice Definition)	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:predecessor	S	0..1	RelatedArtifact	Previous measure?
type	S	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Fixed Value: predecessor
resource	S	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation	S	0..*	RelatedArtifact	Reference/citation
cqfm-isPrimaryCitation		0..1	boolean	Primary reference URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation
cqfm-publicationStatus		0..1	code	Publication status of referenced artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact
cqfm-publicationDate		0..1	date	Publication date of referenced artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate
type	S	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Fixed Value: citation
disclaimer	S	0..1	markdown	Disclaimer for use of the measure or its referenced content
rationale		0..1	markdown	Detailed description of why the measure exists
definition		0..*	markdown	Defined terms used in the measure documentation
cqfm-definitionTerm		1..1	(Complex)	Defined term URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Measure	I	1..1	CQFMMeasure	A quality measure definition
id	Σ	0..1	string	Logical id of this artifact
meta	SΣ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	SΣ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language.
text	S	1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cqfm-artifactComment	S	0..*	(Complex)	Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
cqfm-allocation	S	0..1	markdown	Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
cqfm-softwaresystem	S	0..*	Reference(CQFMDevice)	Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	1..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
identifier	SΣ	0..*	(Slice Definition)	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	SΣ	1..1	Identifier	Measure guid
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:versionSpecificIdentifier	SΣ	1..1	Identifier	Measure version guid
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:shortName	SΣ	1..1	Identifier	Short name
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:endorserIdentifier	SΣ	0..*	Identifier	Endorser identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:publisherIdentifier	SΣ	0..*	Identifier	Publisher identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
version	Σ	1..1	string	Business version of the measure
name	ΣI	1..1	string	Name for this measure (computer friendly)
title	SΣ	1..1	string	Name for this measure (human friendly)
subtitle		0..1	string	Subordinate title of the measure
status	?!Σ	1..1	code	draft \| active \| retired \| unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. Fixed Value: active
experimental	Σ	1..1	boolean	For testing purposes, not real usage
subject[x]		0..1		E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	SΣ	1..1	dateTime	Date last changed
publisher	Σ	1..1	string	Name of the publisher (organization or individual)
contact	SΣ	1..*	ContactDetail	Contact details for the publisher
description	Σ	1..1	markdown	Natural language description of the measure
useContext	SΣ	0..*	(Slice Definition)	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:qualityProgram	SΣ	1..1	UsageContext	The context that the content is intended to support
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	SΣ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: program
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	SΣ	1..1	CodeableConcept	Value that defines the context Binding: Quality Programs (extensible): The quality programs
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this measure is defined
usage	S	0..1	string	Describes the clinical usage of the measure
copyright	S	0..1	markdown	Use and/or publishing restrictions
approvalDate	S	1..1	date	When the measure was approved by publisher
lastReviewDate	S	1..1	date	When the measure was last reviewed
effectivePeriod	SΣ	0..1	Period	When the measure is expected to be used
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
cqfm-effectivePeriodAnchor	S	0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
cqfm-effectivePeriodDuration	S	0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
start	ΣI	0..1	dateTime	Starting time with inclusive boundary
end	ΣI	0..1	dateTime	End time with inclusive boundary, if not ongoing
topic	S	0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
relatedArtifact	S	0..*	(Slice Definition)	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:predecessor	S	0..1	RelatedArtifact	Previous measure?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	SΣ	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor
label	Σ	0..1	string	Short label
display	Σ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	Σ	0..1	Attachment	What document is being referenced
resource	SΣ	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation	S	0..*	RelatedArtifact	Reference/citation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
cqfm-isPrimaryCitation		0..1	boolean	Primary reference URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-isPrimaryCitation
cqfm-publicationStatus		0..1	code	Publication status of referenced artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact
cqfm-publicationDate		0..1	date	Publication date of referenced artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-publicationDate
type	SΣ	1..1	code	documentation \| justification \| citation \| predecessor \| successor \| derived-from \| depends-on \| composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation
label	Σ	0..1	string	Short label
display	Σ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	Σ	0..1	Attachment	What document is being referenced
resource	Σ	0..1	canonical(Resource)	What resource is being referenced
library	SI	0..1	canonical(Library)	Logic used by the measure cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
disclaimer	SΣ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	SΣ	1..1	CodeableConcept	proportion \| ratio \| continuous-variable \| cohort Binding: MeasureScoring (extensible): The scoring type of the measure.
compositeScoring	Σ	0..1	CodeableConcept	opportunity \| all-or-nothing \| linear \| weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
type	SΣ	1..*	CodeableConcept	process \| outcome \| structure \| patient-reported-outcome \| composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
riskAdjustment	Σ	0..1	string	How risk adjustment is applied for this measure
rateAggregation	Σ	0..1	string	How is rate aggregation performed for this measure
rationale	Σ	0..1	markdown	Detailed description of why the measure exists
clinicalRecommendationStatement	Σ	0..1	markdown	Summary of clinical guidelines
improvementNotation	SΣ	1..1	CodeableConcept	increase \| decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
definition	Σ	0..*	markdown	Defined terms used in the measure documentation
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
cqfm-definitionTerm		1..1	(Complex)	Defined term URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-definitionTerm
value		0..1	string	Primitive value for markdown
guidance	Σ	0..1	markdown	Additional guidance for implementers
group	S	0..*	BackboneElement	Population criteria group
id	SI	0..1	string	Unique id for inter-element referencing cqm-3: Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the group
description		0..1	string	Summary description
population	S	1..*	BackboneElement	Population criteria
id	S	1..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	initial-population \| numerator \| numerator-exclusion \| denominator \| denominator-exclusion \| denominator-exception \| measure-population \| measure-population-exclusion \| measure-observation Binding: MeasurePopulationType (extensible): The type of population.
description		0..1	string	The human readable description of this population criteria
criteria	SI	1..1	Expression	The criteria that defines this population cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
stratifier	S	0..*	BackboneElement	Stratifier criteria for the measure
id	S	1..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier
description		0..1	string	The human readable description of this stratifier
criteria	SI	0..1	Expression	How the measure should be stratified cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
component		0..*	BackboneElement	Stratifier criteria component for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier component
description		0..1	string	The human readable description of this stratifier component
criteria		1..1	Expression	Component of how the measure should be stratified
supplementalData	SI	0..*	BackboneElement	What other data should be reported with the measure cqm-6: Supplemental data SHALL use either criteria or path
id	S	1..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the supplemental data
usage		0..*	CodeableConcept	supplemental-data \| risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
description		0..1	string	The human readable description of this supplemental data
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Other representations of profile: Schematron

Terminology Bindings

Path	Conformance	ValueSet / Code
Measure.meta.security	extensible	All Security Labels
Measure.meta.tag	example	CommonTags
Measure.language	preferred	CommonLanguages Max Binding: AllLanguages
Measure.identifier:versionIndependentIdentifier.use	required	Fixed Value: official
Measure.identifier:versionIndependentIdentifier.type	extensible	Pattern: version-independent
Measure.identifier:versionSpecificIdentifier.use	required	Fixed Value: official
Measure.identifier:versionSpecificIdentifier.type	extensible	Pattern: version-specific
Measure.identifier:shortName.use	required	Fixed Value: usual
Measure.identifier:shortName.type	extensible	Pattern: short-name
Measure.identifier:endorserIdentifier.use	required	Fixed Value: official
Measure.identifier:endorserIdentifier.type	extensible	Pattern: endorser
Measure.identifier:publisherIdentifier.use	required	Fixed Value: official
Measure.identifier:publisherIdentifier.type	extensible	Pattern: publisher
Measure.status	required	Fixed Value: active
Measure.subject[x]	extensible	SubjectType
Measure.useContext:qualityProgram.code	extensible	Pattern: program
Measure.useContext:qualityProgram.value[x]	extensible	QualityPrograms
Measure.jurisdiction	extensible	Jurisdiction ValueSet
Measure.topic	example	DefinitionTopic
Measure.relatedArtifact:predecessor.type	required	Fixed Value: predecessor
Measure.relatedArtifact:citation.type	required	Fixed Value: citation
Measure.scoring	extensible	MeasureScoring
Measure.compositeScoring	extensible	CompositeMeasureScoring
Measure.type	extensible	MeasureType
Measure.improvementNotation	required	MeasureImprovementNotation
Measure.group.population.code	extensible	MeasurePopulationType
Measure.supplementalData.usage	extensible	MeasureDataUsage

Constraints

Id	Path	Details	Requirements
dom-2	Measure	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	Measure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	Measure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	Measure	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Measure	A resource should have narrative for robust management : text.`div`.exists()
mea-0	Measure	Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1	Measure	Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code \| description \| criteria).exists() xor component.exists())
ele-1	Measure.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.meta.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.meta.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.meta.versionId	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.meta.lastUpdated	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.meta.source	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.meta.profile	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.meta.security	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.meta.tag	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.text	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.extension:comment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.extension:comment	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.extension:allocation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.extension:allocation	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.extension:softwaresystem	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.extension:softwaresystem	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.url	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionIndependentIdentifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionIndependentIdentifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.identifier:versionIndependentIdentifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.identifier:versionIndependentIdentifier.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionIndependentIdentifier.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionIndependentIdentifier.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionIndependentIdentifier.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionIndependentIdentifier.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionIndependentIdentifier.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionSpecificIdentifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionSpecificIdentifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.identifier:versionSpecificIdentifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.identifier:versionSpecificIdentifier.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionSpecificIdentifier.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionSpecificIdentifier.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionSpecificIdentifier.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionSpecificIdentifier.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:versionSpecificIdentifier.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:shortName	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:shortName.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.identifier:shortName.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.identifier:shortName.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:shortName.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:shortName.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:shortName.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:shortName.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:shortName.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:endorserIdentifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:endorserIdentifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.identifier:endorserIdentifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.identifier:endorserIdentifier.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:endorserIdentifier.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:endorserIdentifier.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:endorserIdentifier.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:endorserIdentifier.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:endorserIdentifier.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:publisherIdentifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:publisherIdentifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.identifier:publisherIdentifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.identifier:publisherIdentifier.use	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:publisherIdentifier.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:publisherIdentifier.system	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:publisherIdentifier.value	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:publisherIdentifier.period	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.identifier:publisherIdentifier.assigner	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.version	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.title	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.subtitle	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.status	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.experimental	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.subject[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.date	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.publisher	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.contact	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.description	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.useContext	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.useContext:qualityProgram	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.useContext:qualityProgram.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.useContext:qualityProgram.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.useContext:qualityProgram.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.useContext:qualityProgram.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.jurisdiction	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.purpose	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.usage	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.copyright	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.approvalDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.lastReviewDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.effectivePeriod	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.effectivePeriod.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.effectivePeriod.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.effectivePeriod.extension:anchor	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.effectivePeriod.extension:anchor	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.effectivePeriod.extension:duration	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.effectivePeriod.extension:duration	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.effectivePeriod.start	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.effectivePeriod.end	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.topic	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.author	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.editor	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.reviewer	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.endorser	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:predecessor	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:predecessor.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.relatedArtifact:predecessor.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.relatedArtifact:predecessor.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:predecessor.label	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:predecessor.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:predecessor.citation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:predecessor.url	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:predecessor.document	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:predecessor.resource	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:citation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:citation.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.relatedArtifact:citation.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.relatedArtifact:citation.extension:isPrimaryCitation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.relatedArtifact:citation.extension:isPrimaryCitation	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.relatedArtifact:citation.extension:publicationStatus	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.relatedArtifact:citation.extension:publicationStatus	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.relatedArtifact:citation.extension:publicationDate	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.relatedArtifact:citation.extension:publicationDate	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.relatedArtifact:citation.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:citation.label	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:citation.display	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:citation.citation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:citation.url	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:citation.document	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.relatedArtifact:citation.resource	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.library	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cqm-2	Measure.library	Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) : exists()
ele-1	Measure.disclaimer	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.scoring	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.compositeScoring	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.type	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.riskAdjustment	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.rateAggregation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.rationale	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.clinicalRecommendationStatement	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.improvementNotation	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.definition	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.definition.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.definition.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.definition.extension:definitionTerm	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.definition.extension:definitionTerm	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.guidance	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cqm-3	Measure.group.id	Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group : value.startsWith('group-')
ele-1	Measure.group.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.group.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.group.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.group.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.group.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.description	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.population	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.population.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.group.population.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.group.population.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.group.population.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.group.population.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.population.description	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.population.criteria	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cqm-4	Measure.group.population.criteria	Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not()
ele-1	Measure.group.stratifier	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.stratifier.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.group.stratifier.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.group.stratifier.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.group.stratifier.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.group.stratifier.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.stratifier.description	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.stratifier.criteria	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cqm-5	Measure.group.stratifier.criteria	Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not()
ele-1	Measure.group.stratifier.component	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.stratifier.component.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.group.stratifier.component.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.group.stratifier.component.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.group.stratifier.component.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.group.stratifier.component.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.stratifier.component.description	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.group.stratifier.component.criteria	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.supplementalData	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
cqm-6	Measure.supplementalData	Supplemental data SHALL use either criteria or path : criteria.exists() or path.exists()
ele-1	Measure.supplementalData.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.supplementalData.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.supplementalData.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	Measure.supplementalData.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	Measure.supplementalData.code	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.supplementalData.usage	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.supplementalData.description	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	Measure.supplementalData.criteria	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())