Quality Measure Implementation Guide (STU5)
5.0.0-ballot - ballot
Quality Measure Implementation Guide (STU5)
5.0.0-ballot - ballot
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions
| Active as of 2023-12-15 |
TTL representation of the computable-measure-cqfm resource profile.
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- a fhir:StructureDefinition ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "computable-measure-cqfm"] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure\">Measure</a><a name=\"Measure\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-1, cmp-2, cmp-3, cmp-4, cmp-5, cmp-6, cmp-7)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-measure-cqfm.html\">CQFMMeasure</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A quality measure definition</span><br/><span style=\"font-weight:bold\">cmp-1: </span>Population basis must be specified at the root, or on each group<br/><span style=\"font-weight:bold\">cmp-2: </span>Scoring must be specified at the root, or on each group<br/><span style=\"font-weight:bold\">cmp-3: </span>Scoring unit may only be specified at the root if the scoring is also specified at the root<br/><span style=\"font-weight:bold\">cmp-4: </span>Improvement notation must be specified for scoring types other than cohort<br/><span style=\"font-weight:bold\">cmp-5: </span>If type is specified at the root, it may not be specified on any group<br/><span style=\"font-weight:bold\">cmp-6: </span>If riskAdjustment is specified at the root, it may not be specified on any group<br/><span style=\"font-weight:bold\">cmp-7: </span>If rateAggregation is specified at the root, it may not be specified on any group</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.extension:populationBasis\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis\">populationBasis</a><a name=\"Measure.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-1)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">What type of population</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-populationBasis.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-all-types.html\">FHIRAllTypes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>): The type of elements in the population<br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.extension:scoringUnit\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit\">scoringUnit</a><a name=\"Measure.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-3)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">What units?</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-scoringUnit.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.extension:effectiveDataRequirements\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements\">effectiveDataRequirements</a><a name=\"Measure.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-module-definition-library-cqfm.html\">CQFM Module Definition Library</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Effective required data for evaluation</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-effectiveDataRequirements.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.extension:scoringPrecision\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision\">scoringPrecision</a><a name=\"Measure.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#positiveInt\">positiveInt</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Number of decimal places</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-scoringPrecision.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.library\">library</a><a name=\"Measure.library\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">canonical</a>(<a href=\"StructureDefinition-computable-library-cqfm.html\">CQFM Computable Library</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary.</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.scoring\">scoring</a><a name=\"Measure.scoring\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-2, cmp-3, cmp-4)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">proportion | ratio | continuous-variable | cohort</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.4.0/ValueSet-measure-scoring.html\">MeasureScoring</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.type\">type</a><a name=\"Measure.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-5)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">process | outcome | structure | patient-reported-outcome | composite</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.riskAdjustment\">riskAdjustment</a><a name=\"Measure.riskAdjustment\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-6)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">How risk adjustment is applied for this measure</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.rateAggregation\">rateAggregation</a><a name=\"Measure.rateAggregation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-7)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">How is rate aggregation performed for this measure</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.improvementNotation\">improvementNotation</a><a name=\"Measure.improvementNotation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-4)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">increase | decrease</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.4.0/ValueSet-measure-improvement-notation.html\">MeasureImprovementNotation</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group\">group</a><a name=\"Measure.group\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-8, cmp-9, cmp-10, cmp-11, cmp-12, cmp-13, cmp-14, cmp-15, cmp-16, cmp-17, cmp-18, cmp-19, cmp-20, cmp-21, cmp-22, cmp-23, cmp-24, cmp-25, cmp-26, cmp-27, cmp-28, cmp-29, cmp-30, cmp-31)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Population criteria group</span><br/><span style=\"font-weight:bold\">cmp-8: </span>Scoring unit may only be specified at the root if the scoring is also specified at the root<br/><span style=\"font-weight:bold\">cmp-9: </span>Improvement notation must be specified for scoring types other than cohort<br/><span style=\"font-weight:bold\">cmp-10: </span>Cohort measures have one and only one population criteria and that criteria has a code of initial-population<br/><span style=\"font-weight:bold\">cmp-11: </span>Proportion measures must have one and only one initial population<br/><span style=\"font-weight:bold\">cmp-12: </span>Proportion measures must have one and only one denominator<br/><span style=\"font-weight:bold\">cmp-13: </span>Proportion measures must have one and only one numerator<br/><span style=\"font-weight:bold\">cmp-14: </span>Proportion measures may have at most one denominator-exclusion<br/><span style=\"font-weight:bold\">cmp-15: </span>Proportion measures may have at most one denominator-exception<br/><span style=\"font-weight:bold\">cmp-16: </span>Proportion measures may have at most one numerator-exclusion<br/><span style=\"font-weight:bold\">cmp-17: </span>Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria<br/><span style=\"font-weight:bold\">cmp-18: </span>Ratio measures must have between 1 and 2 initial population criteria<br/><span style=\"font-weight:bold\">cmp-19: </span>Ratio measures must have one and only one denominator<br/><span style=\"font-weight:bold\">cmp-20: </span>Ratio measures must have one and only one numerator<br/><span style=\"font-weight:bold\">cmp-21: </span>Ratio measures may have at most one denominator-exclusion<br/><span style=\"font-weight:bold\">cmp-22: </span>Ratio measures may have at most two measure-observation criteria<br/><span style=\"font-weight:bold\">cmp-23: </span>Ratio measures may have at most one numerator-exclusion<br/><span style=\"font-weight:bold\">cmp-24: </span>Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria<br/><span style=\"font-weight:bold\">cmp-25: </span>Continuous variable measures must have one and only one initial population criteria<br/><span style=\"font-weight:bold\">cmp-26: </span>Continuous variable measures must have one and only one measure population<br/><span style=\"font-weight:bold\">cmp-27: </span>Continuous variable measures must have one and only one measure observation<br/><span style=\"font-weight:bold\">cmp-28: </span>Continuous variable measures may have at most one measure population exclusion<br/><span style=\"font-weight:bold\">cmp-29: </span>Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria<br/><span style=\"font-weight:bold\">cmp-30: </span>Composite measures may not specify population criteria<br/><span style=\"font-weight:bold\">cmp-31: </span>Composite measures must specify composite scoring and at least one component</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:populationBasis\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis\">populationBasis</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-1)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">What type of population</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-populationBasis.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-all-types.html\">FHIRAllTypes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>): The type of elements in the population<br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:scoring\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring\">scoring</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-2, cmp-8, cmp-9, cmp-10, cmp-11, cmp-12, cmp-13, cmp-14, cmp-15, cmp-16, cmp-17, cmp-18, cmp-19, cmp-20, cmp-21, cmp-22, cmp-23, cmp-24, cmp-25, cmp-26, cmp-27, cmp-28, cmp-29, cmp-30, cmp-31)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">proportion | ratio | continuous-variable | cohort</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-scoring.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.4.0/ValueSet-measure-scoring.html\">MeasureScoring</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>): How the measure calculation is performed<br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:scoringUnit\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit\">scoringUnit</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-8)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">What units?</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-scoringUnit.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:scoringPrecision\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision\">scoringPrecision</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#positiveInt\">positiveInt</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Number of decimal places</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-scoringPrecision.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:compositeScoring\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring\">compositeScoring</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-31)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">proportion | ratio | continuous-variable | cohort</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-compositeScoring.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.4.0/ValueSet-composite-measure-scoring.html\">CompositeMeasureScoring</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>): How the composite measure calculation is performed<br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:component\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component\">component</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-31)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/metadatatypes.html#RelatedArtifact\">RelatedArtifact</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">What artifact</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-component.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component</a><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:type\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type\">type</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-5)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">process | outcome | structure | patient-reported-outcome</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-type.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.4.0/ValueSet-measure-type.html\">MeasureType</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.<br/><br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:riskAdjustment\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment\">riskAdjustment</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-6)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">How risk adjustment is applied for this measure</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-riskAdjustment.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:rateAggregation\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation\">rateAggregation</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-7)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">How is rate aggregation performed for this measure</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-rateAggregation.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck114.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.extension:improvementNotation\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation\">improvementNotation</a><a name=\"Measure.group.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-9)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">increase | decrease</span><br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-improvementNotation.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.4.0/ValueSet-measure-improvement-notation.html\">MeasureImprovementNotation</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>): Indicates how to interpret the calculated score of the measure<br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.population\">population</a><a name=\"Measure.group.population\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-32, cmp-10, cmp-11, cmp-12, cmp-13, cmp-14, cmp-15, cmp-16, cmp-17, cmp-18, cmp-19, cmp-20, cmp-21, cmp-22, cmp-23, cmp-24, cmp-25, cmp-26, cmp-27, cmp-28, cmp-29, cmp-30, cmp-32)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Population criteria</span><br/><span style=\"font-weight:bold\">cmp-32: </span>Computable measures must use text/cql-expression or text/cql-identifier for all criteria</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.stratifier\">stratifier</a><a name=\"Measure.group.stratifier\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-33, cmp-33)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Stratifier criteria for the measure</span><br/><span style=\"font-weight:bold\">cmp-33: </span>Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1014.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.stratifier.extension:appliesTo\" title=\"Extension URL = http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo\">appliesTo</a><a name=\"Measure.group.stratifier.extension\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Which population should this stratification apply to? If none is specified, the stratification applies to all populations in the group.<br/><span style=\"font-weight:bold\">URL: </span><a href=\"http://hl7.org/fhir/R4/StructureDefinition-cqfm-appliesTo.html\">http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo</a><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/5.4.0/ValueSet-measure-population.html\">MeasurePopulationType</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\">extensible</a>): Indicates the population<br/><br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.group.stratifier.component\">component</a><a name=\"Measure.group.stratifier.component\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-34, cmp-34)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Stratifier criteria component for the measure</span><br/><span style=\"font-weight:bold\">cmp-34: </span>Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-computable-measure-cqfm-definitions.html#Measure.supplementalData\">supplementalData</a><a name=\"Measure.supplementalData\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span><a style=\"padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold; color: #301212; background-color: #fdf4f4;\" href=\"http://hl7.org/fhir/R4/conformance-rules.html#constraints\" title=\"This element has or is affected by constraints (cmp-35, cmp-34)\">C</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">What other data should be reported with the measure</span><br/><span style=\"font-weight:bold\">cmp-35: </span>Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria</td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>" ] ; # fhir:extension ( [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ; fhir:value [ fhir:v "cqi" ] ] ) ; # fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"^^xsd:anyURI] ; # fhir:version [ fhir:v "5.0.0-ballot"] ; # fhir:name [ fhir:v "CQFMComputableMeasure"] ; # fhir:title [ fhir:v "CQFM Computable Measure"] ; # fhir:status [ fhir:v "active"] ; # fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # fhir:date [ fhir:v "2023-12-15T17:46:42+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; # fhir:contact ( [ ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ] ] ) ] ) ; # fhir:description [ fhir:v "The CQFM Computable Measure Profile describes minimum expectations for a computable electronic Clinical Quality Measure (eCQM), including the use of a computable library, and the use of expressions or identifiers for all criteria."] ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ; fhir:code [ fhir:v "US" ] ] ) ] ) ; # fhir:fhirVersion [ fhir:v "4.0.1"] ; # fhir:mapping ( [ fhir:identity [ fhir:v "rim" ] ; fhir:uri [ fhir:v "http://hl7.org/v3"^^xsd:anyURI ] ; fhir:name [ fhir:v "RIM Mapping" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/workflow"^^xsd:anyURI ] ; fhir:name [ fhir:v "Workflow Pattern" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/fivews"^^xsd:anyURI ] ; fhir:name [ fhir:v "FiveWs Pattern Mapping" ] ] [ fhir:identity [ fhir:v "objimpl" ] ; fhir:uri [ fhir:v "http://hl7.org/fhir/object-implementation"^^xsd:anyURI ] ; fhir:name [ fhir:v "Object Implementation Information" ] ] ) ; # fhir:kind [ fhir:v "resource"] ; # fhir:abstract [ fhir:v "false"^^xsd:boolean] ; # fhir:type [ fhir:v "Measure"^^xsd:anyURI] ; # fhir:baseDefinition [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm> ] ; # fhir:derivation [ fhir:v "constraint"] ; # fhir:snapshot [ ( fhir:element [ fhir:id [ fhir:v "Measure" ] ; fhir:path [ fhir:v "Measure" ] ; fhir:short [ fhir:v "A quality measure definition" ] ; fhir:definition [ fhir:v "The Measure resource provides the definition of a quality measure." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:constraint [ fhir:key [ fhir:v "dom-2" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ; fhir:expression [ fhir:v "contained.contained.empty()" ] ; fhir:xpath [ fhir:v "not(parent::f:contained and f:contained)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ] ; fhir:expression [ fhir:v "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()" ] ; fhir:xpath [ fhir:v "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-4" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ; fhir:expression [ fhir:v "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "dom-5" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If a resource is contained in another resource, it SHALL NOT have a security label" ] ; fhir:expression [ fhir:v "contained.meta.security.empty()" ] ; fhir:xpath [ fhir:v "not(exists(f:contained/*/f:meta/f:security))" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"^^xsd:anyURI ] ; fhir:value [ fhir:v "true"^^xsd:boolean ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"^^xsd:anyURI ] ; fhir:value [ fhir:v "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ] ] ) ; fhir:key [ fhir:v "dom-6" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "A resource should have narrative for robust management" ] ; fhir:expression [ fhir:v "text.`div`.exists()" ] ; fhir:xpath [ fhir:v "exists(f:text/h:div)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/DomainResource"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource> ] ] [ fhir:key [ fhir:v "mea-0" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "Name should be usable as an identifier for the module by machine processing applications such as code generation" ] ; fhir:expression [ fhir:v "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')" ] ; fhir:xpath [ fhir:v "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Measure"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Measure> ] ] [ fhir:key [ fhir:v "mea-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Stratifier SHALL be either a single criteria or a set of criteria components" ] ; fhir:expression [ fhir:v "group.stratifier.all((code | description | criteria).exists() xor component.exists())" ] ; fhir:xpath [ fhir:v "exists(f:group/stratifier/code) or exists(f:group/stratifier/component)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Measure"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Measure> ] ] [ fhir:key [ fhir:v "cmp-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Population basis must be specified at the root, or on each group" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-2" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Scoring must be specified at the root, or on each group" ] ; fhir:expression [ fhir:v "scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Scoring unit may only be specified at the root if the scoring is also specified at the root" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists()" ] ] [ fhir:key [ fhir:v "cmp-4" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Improvement notation must be specified for scoring types other than cohort" ] ; fhir:expression [ fhir:v "scoring.exists() and scoring in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()" ] ] [ fhir:key [ fhir:v "cmp-5" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If type is specified at the root, it may not be specified on any group" ] ; fhir:expression [ fhir:v "type.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type').exists()).allFalse()" ] ] [ fhir:key [ fhir:v "cmp-6" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If riskAdjustment is specified at the root, it may not be specified on any group" ] ; fhir:expression [ fhir:v "riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse()" ] ] [ fhir:key [ fhir:v "cmp-7" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If rateAggregation is specified at the root, it may not be specified on any group" ] ; fhir:expression [ fhir:v "rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse()" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Entity. Role, or Act" ] ] [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition" ] ] ) ] [ fhir:id [ fhir:v "Measure.id" ] ; fhir:path [ fhir:v "Measure.id" ] ; fhir:short [ fhir:v "Logical id of this artifact" ] ; fhir:definition [ fhir:v "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ; fhir:comment [ fhir:v "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ fhir:v "id"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.meta" ] ; fhir:path [ fhir:v "Measure.meta" ] ; fhir:short [ fhir:v "Metadata about the resource" ] ; fhir:definition [ fhir:v "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.meta" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Meta"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.meta.id" ] ; fhir:path [ fhir:v "Measure.meta.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.meta.extension" ] ; fhir:path [ fhir:v "Measure.meta.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:description [ fhir:v "Extensions are always sliced by (at least) url" ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.meta.versionId" ] ; fhir:path [ fhir:v "Measure.meta.versionId" ] ; fhir:short [ fhir:v "Version specific identifier" ] ; fhir:definition [ fhir:v "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted." ] ; fhir:comment [ fhir:v "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.versionId" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "id"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.meta.lastUpdated" ] ; fhir:path [ fhir:v "Measure.meta.lastUpdated" ] ; fhir:short [ fhir:v "When the resource version last changed" ] ; fhir:definition [ fhir:v "When the resource last changed - e.g. when the version changed." ] ; fhir:comment [ fhir:v "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.lastUpdated" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "instant"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.meta.source" ] ; fhir:path [ fhir:v "Measure.meta.source" ] ; fhir:short [ fhir:v "Identifies where the resource comes from" ] ; fhir:definition [ fhir:v "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc." ] ; fhir:comment [ fhir:v "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Meta.source" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.meta.profile" ] ; fhir:path [ fhir:v "Measure.meta.profile" ] ; fhir:short [ fhir:v "Profiles this resource claims to conform to" ] ; fhir:definition [ fhir:v "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url)." ] ; fhir:comment [ fhir:v "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set." ] ; fhir:requirements [ fhir:v "A measure must declare its profile." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.profile" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/StructureDefinition"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/StructureDefinition> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.meta.security" ] ; fhir:path [ fhir:v "Measure.meta.security" ] ; fhir:short [ fhir:v "Security Labels applied to this resource" ] ; fhir:definition [ fhir:v "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." ] ; fhir:comment [ fhir:v "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.security" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ fhir:v "SecurityLabels" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Security Labels from the Healthcare Privacy and Security Classification System." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/security-labels"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/security-labels> ] ] ] [ fhir:id [ fhir:v "Measure.meta.tag" ] ; fhir:path [ fhir:v "Measure.meta.tag" ] ; fhir:short [ fhir:v "Tags applied to this resource" ] ; fhir:definition [ fhir:v "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." ] ; fhir:comment [ fhir:v "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Meta.tag" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Coding"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ fhir:v "Tags" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/common-tags"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/common-tags> ] ] ] [ fhir:id [ fhir:v "Measure.implicitRules" ] ; fhir:path [ fhir:v "Measure.implicitRules" ] ; fhir:short [ fhir:v "A set of rules under which this content was created" ] ; fhir:definition [ fhir:v "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ; fhir:comment [ fhir:v "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.implicitRules" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifierReason [ fhir:v "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.language" ] ; fhir:path [ fhir:v "Measure.language" ] ; fhir:short [ fhir:v "Language of the resource content" ] ; fhir:definition [ fhir:v "The base language in which the resource is written." ] ; fhir:comment [ fhir:v "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Resource.language" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet"^^xsd:anyURI ] ; fhir:value [ fhir:v "http://hl7.org/fhir/ValueSet/all-languages"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/all-languages> ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ fhir:v "Language" ] ] ) ; fhir:strength [ fhir:v "preferred" ] ; fhir:description [ fhir:v "A human language." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/languages"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/languages> ] ] ] [ fhir:id [ fhir:v "Measure.text" ] ; fhir:path [ fhir:v "Measure.text" ] ; fhir:short [ fhir:v "Text summary of the resource, for human interpretation" ] ; fhir:definition [ fhir:v "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ; fhir:comment [ fhir:v "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ; ( fhir:alias [ fhir:v "narrative" ] [ fhir:v "html" ] [ fhir:v "xhtml" ] [ fhir:v "display" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.text" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Narrative"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "Act.text?" ] ] ) ] [ fhir:id [ fhir:v "Measure.contained" ] ; fhir:path [ fhir:v "Measure.contained" ] ; fhir:short [ fhir:v "Contained, inline Resources" ] ; fhir:definition [ fhir:v "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ; fhir:comment [ fhir:v "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ] ; ( fhir:alias [ fhir:v "inline resources" ] [ fhir:v "anonymous resources" ] [ fhir:v "contained resources" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.contained" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Resource"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Measure.extension" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:ordered [ fhir:v "false"^^xsd:boolean ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:comment" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "comment" ] ; fhir:short [ fhir:v "Additional documentation, review, or usage guidance" ] ; fhir:definition [ fhir:v "A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:softwaresystem" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "softwaresystem" ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "Specifies the software systems used in the packaging and testing of measure and library resources. Specifically to know which version of what software was used." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:populationBasis" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "populationBasis" ] ; fhir:short [ fhir:v "What type of population" ] ; fhir:definition [ fhir:v "The population basis specifies the type of elements in the population. For a subject-based measure, this is boolean (because the subject and the population basis are the same, and the population criteria define yes/no values for each individual in the population). For measures that have a population basis that is different than the subject, this element specifies the type of the population basis. For example, an encounter-based measure has a subject of Patient and a population basis of Encounter, and the population criteria all return lists of Encounters." ] ; fhir:comment [ fhir:v "In Health Quality Measure Format, this was referred to as the Item Count metadata attribute." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:scoringUnit" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "scoringUnit" ] ; fhir:short [ fhir:v "What units?" ] ; fhir:definition [ fhir:v "Defines the expected units of measure for the measure score." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:effectiveDataRequirements" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "effectiveDataRequirements" ] ; fhir:short [ fhir:v "Effective required data for evaluation" ] ; fhir:definition [ fhir:v "A module definition library that contains the effective data requirements for the measure (i.e. the calculated data requirements for the expressions referenced by the measure structure)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:scoringPrecision" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "scoringPrecision" ] ; fhir:short [ fhir:v "Number of decimal places" ] ; fhir:definition [ fhir:v "Defines the precision of the measure score when it is a decimal value." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision> ] ) ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.modifierExtension" ] ; fhir:path [ fhir:v "Measure.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "DomainResource.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Measure.url" ] ; fhir:path [ fhir:v "Measure.url" ] ; fhir:short [ fhir:v "Canonical identifier for this measure, represented as a URI (globally unique)" ] ; fhir:definition [ fhir:v "An absolute URI that is used to identify this measure when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this measure is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the measure is stored on different servers." ] ; fhir:comment [ fhir:v "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](http://hl7.org/fhir/resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](http://hl7.org/fhir/resource.html#meta) element to indicate where the current master source of the resource can be found." ] ; fhir:requirements [ fhir:v "Allows the measure to be referenced by a single globally unique identifier." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.url" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "uri"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.url" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.identifier" ] ] ) ] [ fhir:id [ fhir:v "Measure.identifier" ] ; fhir:path [ fhir:v "Measure.identifier" ] ; fhir:short [ fhir:v "Additional identifier for the measure" ] ; fhir:definition [ fhir:v "A formal identifier that is used to identify this measure when it is represented in other formats, or referenced in a specification, model, design or an instance." ] ; fhir:comment [ fhir:v "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this measure outside of FHIR, where it is not possible to use the logical URI." ] ; fhir:requirements [ fhir:v "Allows externally provided and/or usable business identifiers to be easily associated with the module." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.identifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Identifier"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.identifier" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.identifier" ] ] [ fhir:identity [ fhir:v "objimpl" ] ; fhir:map [ fhir:v "no-gen-base" ] ] ) ] [ fhir:id [ fhir:v "Measure.version" ] ; fhir:path [ fhir:v "Measure.version" ] ; fhir:short [ fhir:v "Business version of the measure" ] ; fhir:definition [ fhir:v "The identifier that is used to identify this version of the measure when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the measure author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts." ] ; fhir:comment [ fhir:v "There may be different measure instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the measure with the format [url]|[version]." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.version" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.version" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.version" ] ] ) ] [ fhir:id [ fhir:v "Measure.name" ] ; fhir:path [ fhir:v "Measure.name" ] ; fhir:short [ fhir:v "Name for this measure (computer friendly)" ] ; fhir:definition [ fhir:v "A natural language name identifying the measure. This name should be usable as an identifier for the module by machine processing applications such as code generation." ] ; fhir:comment [ fhir:v "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly." ] ; fhir:requirements [ fhir:v "Support human navigation and code generation." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.name" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "inv-0" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.title" ] ; fhir:path [ fhir:v "Measure.title" ] ; fhir:short [ fhir:v "Name for this measure (human friendly)" ] ; fhir:definition [ fhir:v "A short, descriptive, user-friendly title for the measure." ] ; fhir:comment [ fhir:v "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.title" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.title" ] ] ) ] [ fhir:id [ fhir:v "Measure.subtitle" ] ; fhir:path [ fhir:v "Measure.subtitle" ] ; fhir:short [ fhir:v "Subordinate title of the measure" ] ; fhir:definition [ fhir:v "An explanatory or alternate title for the measure giving additional information about its content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.subtitle" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.status" ] ; fhir:path [ fhir:v "Measure.status" ] ; fhir:short [ fhir:v "draft | active | retired | unknown" ] ; fhir:definition [ fhir:v "The status of this measure. Enables tracking the life-cycle of the content." ] ; fhir:comment [ fhir:v "Allows filtering of measures that are appropriate for use versus not." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.status" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "code"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifierReason [ fhir:v "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration" ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ fhir:v "PublicationStatus" ] ] ) ; fhir:strength [ fhir:v "required" ] ; fhir:description [ fhir:v "The lifecycle status of an artifact." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/publication-status|4.0.1"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/publication-status|4.0.1> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.status" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.status" ] ] ) ] [ fhir:id [ fhir:v "Measure.experimental" ] ; fhir:path [ fhir:v "Measure.experimental" ] ; fhir:short [ fhir:v "For testing purposes, not real usage" ] ; fhir:definition [ fhir:v "A Boolean value to indicate that this measure is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage." ] ; fhir:comment [ fhir:v "Allows filtering of measures that are appropriate for use versus not." ] ; fhir:requirements [ fhir:v "Enables experimental content to be developed following the same lifecycle that would be used for a production-level measure." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.experimental" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "boolean"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.experimental" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.class" ] ] ) ] [ fhir:id [ fhir:v "Measure.subject[x]" ] ; fhir:path [ fhir:v "Measure.subject[x]" ] ; fhir:short [ fhir:v "E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device" ] ; fhir:definition [ fhir:v "The intended subjects for the measure. If this element is not provided, a Patient subject is assumed, but the subject of the measure can be anything." ] ; fhir:comment [ fhir:v "The subject of the measure is critical in interpreting the criteria definitions, as the logic in the measures is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.subject[x]" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] [ fhir:code [ fhir:v "Reference"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/StructureDefinition/Group"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Group> ] ) ] ) ; fhir:meaningWhenMissing [ fhir:v "Patient" ] ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ fhir:v "SubjectType" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.)." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/subject-type"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/subject-type> ] ] ] [ fhir:id [ fhir:v "Measure.date" ] ; fhir:path [ fhir:v "Measure.date" ] ; fhir:short [ fhir:v "Date last changed" ] ; fhir:definition [ fhir:v "The date (and optionally time) when the measure was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the measure changes." ] ; fhir:comment [ fhir:v "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource." ] ; ( fhir:alias [ fhir:v "Revision Date" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.date" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "dateTime"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.date" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.recorded" ] ] ) ] [ fhir:id [ fhir:v "Measure.publisher" ] ; fhir:path [ fhir:v "Measure.publisher" ] ; fhir:short [ fhir:v "Name of the publisher (organization or individual)" ] ; fhir:definition [ fhir:v "The name of the organization or individual that published the measure." ] ; fhir:comment [ fhir:v "Usually an organization but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context." ] ; fhir:requirements [ fhir:v "Helps establish the \"authority/credibility\" of the measure. May also allow for contact." ] ; ( fhir:alias [ fhir:v "steward" ] ) ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.publisher" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.publisher" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.witness" ] ] ) ] [ fhir:id [ fhir:v "Measure.contact" ] ; fhir:path [ fhir:v "Measure.contact" ] ; fhir:short [ fhir:v "Contact details for the publisher" ] ; fhir:definition [ fhir:v "Contact details to assist a user in finding and communicating with the publisher." ] ; fhir:comment [ fhir:v "May be a web site, an email address, a telephone number, etc." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.contact" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "ContactDetail"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.contact" ] ] ) ] [ fhir:id [ fhir:v "Measure.description" ] ; fhir:path [ fhir:v "Measure.description" ] ; fhir:short [ fhir:v "Natural language description of the measure" ] ; fhir:definition [ fhir:v "A free text natural language description of the measure from a consumer's perspective." ] ; fhir:comment [ fhir:v "This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the measure is presumed to be the predominant language in the place the measure was created)." ] ; ( fhir:alias [ fhir:v "scope" ] ) ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.description" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.description" ] ] [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Measure.useContext" ] ; fhir:path [ fhir:v "Measure.useContext" ] ; fhir:short [ fhir:v "The context that the content is intended to support" ] ; fhir:definition [ fhir:v "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate measure instances." ] ; fhir:comment [ fhir:v "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply." ] ; fhir:requirements [ fhir:v "Assist in searching for appropriate content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.useContext" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "UsageContext"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.useContext" ] ] ) ] [ fhir:id [ fhir:v "Measure.jurisdiction" ] ; fhir:path [ fhir:v "Measure.jurisdiction" ] ; fhir:short [ fhir:v "Intended jurisdiction for measure (if applicable)" ] ; fhir:definition [ fhir:v "A legal or geographic region in which the measure is intended to be used." ] ; fhir:comment [ fhir:v "It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.jurisdiction" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ fhir:v "Jurisdiction" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "Countries and regions within which this artifact is targeted for use." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/jurisdiction"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/jurisdiction> ] ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.jurisdiction" ] ] ) ] [ fhir:id [ fhir:v "Measure.purpose" ] ; fhir:path [ fhir:v "Measure.purpose" ] ; fhir:short [ fhir:v "Why this measure is defined" ] ; fhir:definition [ fhir:v "Explanation of why this measure is needed and why it has been designed as it has." ] ; fhir:comment [ fhir:v "This element does not describe the usage of the measure. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this measure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.purpose" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.purpose" ] ] [ fhir:identity [ fhir:v "w5" ] ; fhir:map [ fhir:v "FiveWs.why[x]" ] ] [ fhir:identity [ fhir:v "objimpl" ] ; fhir:map [ fhir:v "no-gen-base" ] ] ) ] [ fhir:id [ fhir:v "Measure.usage" ] ; fhir:path [ fhir:v "Measure.usage" ] ; fhir:short [ fhir:v "Describes the clinical usage of the measure" ] ; fhir:definition [ fhir:v "A detailed description, from a clinical perspective, of how the measure is used." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.usage" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.copyright" ] ; fhir:path [ fhir:v "Measure.copyright" ] ; fhir:short [ fhir:v "Use and/or publishing restrictions" ] ; fhir:definition [ fhir:v "A copyright statement relating to the measure and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the measure." ] ; fhir:requirements [ fhir:v "Consumers must be able to determine any legal restrictions on the use of the measure and/or its content." ] ; ( fhir:alias [ fhir:v "License" ] [ fhir:v "Restrictions" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.copyright" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.copyright" ] ] [ fhir:identity [ fhir:v "objimpl" ] ; fhir:map [ fhir:v "no-gen-base" ] ] ) ] [ fhir:id [ fhir:v "Measure.approvalDate" ] ; fhir:path [ fhir:v "Measure.approvalDate" ] ; fhir:short [ fhir:v "When the measure was approved by publisher" ] ; fhir:definition [ fhir:v "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage." ] ; fhir:comment [ fhir:v "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.approvalDate" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "date"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.approvalDate" ] ] [ fhir:identity [ fhir:v "objimpl" ] ; fhir:map [ fhir:v "no-gen-base" ] ] ) ] [ fhir:id [ fhir:v "Measure.lastReviewDate" ] ; fhir:path [ fhir:v "Measure.lastReviewDate" ] ; fhir:short [ fhir:v "When the measure was last reviewed" ] ; fhir:definition [ fhir:v "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date." ] ; fhir:comment [ fhir:v "If specified, this date follows the original approval date." ] ; fhir:requirements [ fhir:v "Gives a sense of how \"current\" the content is. Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.lastReviewDate" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "date"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.lastReviewDate" ] ] [ fhir:identity [ fhir:v "objimpl" ] ; fhir:map [ fhir:v "no-gen-base" ] ] ) ] [ fhir:id [ fhir:v "Measure.effectivePeriod" ] ; fhir:path [ fhir:v "Measure.effectivePeriod" ] ; fhir:short [ fhir:v "When the measure is expected to be used" ] ; fhir:definition [ fhir:v "The period during which the measure content was or is planned to be in active use." ] ; fhir:comment [ fhir:v "The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015." ] ; fhir:requirements [ fhir:v "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting process when new versions of the measure are or are expected to be used instead." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.effectivePeriod" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Period"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "workflow" ] ; fhir:map [ fhir:v "Definition.effectivePeriod" ] ] [ fhir:identity [ fhir:v "objimpl" ] ; fhir:map [ fhir:v "no-gen-base" ] ] ) ] [ fhir:id [ fhir:v "Measure.topic" ] ; fhir:path [ fhir:v "Measure.topic" ] ; fhir:short [ fhir:v "The category of the measure, such as Education, Treatment, Assessment, etc." ] ; fhir:definition [ fhir:v "Descriptive topics related to the content of the measure. Topics provide a high-level categorization grouping types of measures that can be useful for filtering and searching." ] ; fhir:requirements [ fhir:v "Repositories must be able to determine how to categorize the measure so that it can be found by topical searches." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.topic" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ fhir:v "DefinitionTopic" ] ] ) ; fhir:strength [ fhir:v "example" ] ; fhir:description [ fhir:v "High-level categorization of the definition, used for searching, sorting, and filtering." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/definition-topic"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/definition-topic> ] ] ] [ fhir:id [ fhir:v "Measure.author" ] ; fhir:path [ fhir:v "Measure.author" ] ; fhir:short [ fhir:v "Who authored the content" ] ; fhir:definition [ fhir:v "An individiual or organization primarily involved in the creation and maintenance of the content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.author" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "ContactDetail"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=AUT]" ] ] ) ] [ fhir:id [ fhir:v "Measure.editor" ] ; fhir:path [ fhir:v "Measure.editor" ] ; fhir:short [ fhir:v "Who edited the content" ] ; fhir:definition [ fhir:v "An individual or organization primarily responsible for internal coherence of the content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.editor" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "ContactDetail"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.reviewer" ] ; fhir:path [ fhir:v "Measure.reviewer" ] ; fhir:short [ fhir:v "Who reviewed the content" ] ; fhir:definition [ fhir:v "An individual or organization primarily responsible for review of some aspect of the content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.reviewer" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "ContactDetail"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}" ] ] ) ] [ fhir:id [ fhir:v "Measure.endorser" ] ; fhir:path [ fhir:v "Measure.endorser" ] ; fhir:short [ fhir:v "Who endorsed the content" ] ; fhir:definition [ fhir:v "An individual or organization responsible for officially endorsing the content for use in some setting." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.endorser" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "ContactDetail"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}" ] ] ) ] [ fhir:id [ fhir:v "Measure.relatedArtifact" ] ; fhir:path [ fhir:v "Measure.relatedArtifact" ] ; fhir:short [ fhir:v "Additional documentation, citations, etc." ] ; fhir:definition [ fhir:v "Related artifacts such as additional documentation, justification, or bibliographic references." ] ; fhir:comment [ fhir:v "Each related artifact is either an attachment, or a reference to another resource, but not both." ] ; fhir:requirements [ fhir:v "Measures must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.relatedArtifact" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "RelatedArtifact"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.library" ] ; fhir:path [ fhir:v "Measure.library" ] ; fhir:short [ fhir:v "CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary." ] ; fhir:definition [ fhir:v "A reference to a Library resource containing the formal logic used by the measure." ] ; fhir:requirements [ fhir:v "A computable measure MUST provide one primary library reference containing population criteria definitions for the measure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.library" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm> ] ) ] ) ; ( fhir:condition [ fhir:v "cqm-2" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "cqm-2" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)" ] ; fhir:expression [ fhir:v "exists()" ] ; fhir:xpath [ fhir:v "exists(f)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.disclaimer" ] ; fhir:path [ fhir:v "Measure.disclaimer" ] ; fhir:short [ fhir:v "Disclaimer for use of the measure or its referenced content" ] ; fhir:definition [ fhir:v "Notices and disclaimers regarding the use of the measure or related to intellectual property (such as code systems) referenced by the measure." ] ; fhir:requirements [ fhir:v "Some organizations require that notices and disclosures be included when publishing measures that reference their intellecutal property." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.disclaimer" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.scoring" ] ; fhir:path [ fhir:v "Measure.scoring" ] ; fhir:short [ fhir:v "proportion | ratio | continuous-variable | cohort" ] ; fhir:definition [ fhir:v "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.scoring" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-2" ] [ fhir:v "cmp-3" ] [ fhir:v "cmp-4" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ fhir:strength [ fhir:v "extensible" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-scoring"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/measure-scoring> ] ] ] [ fhir:id [ fhir:v "Measure.compositeScoring" ] ; fhir:path [ fhir:v "Measure.compositeScoring" ] ; fhir:short [ fhir:v "opportunity | all-or-nothing | linear | weighted" ] ; fhir:definition [ fhir:v "If this is a composite measure, the scoring method used to combine the component measures to determine the composite score." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.compositeScoring" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"^^xsd:anyURI ] ; fhir:value [ fhir:v "CompositeMeasureScoring" ] ] ) ; fhir:strength [ fhir:v "extensible" ] ; fhir:description [ fhir:v "The composite scoring method of the measure." ] ; fhir:valueSet [ fhir:v "http://hl7.org/fhir/ValueSet/composite-measure-scoring"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/ValueSet/composite-measure-scoring> ] ] ] [ fhir:id [ fhir:v "Measure.type" ] ; fhir:path [ fhir:v "Measure.type" ] ; fhir:short [ fhir:v "process | outcome | structure | patient-reported-outcome | composite" ] ; fhir:definition [ fhir:v "Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization." ] ; fhir:requirements [ fhir:v "A measure must indicate the type of the measure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-5" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ fhir:strength [ fhir:v "extensible" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-type"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/measure-type> ] ] ] [ fhir:id [ fhir:v "Measure.riskAdjustment" ] ; fhir:path [ fhir:v "Measure.riskAdjustment" ] ; fhir:short [ fhir:v "How risk adjustment is applied for this measure" ] ; fhir:definition [ fhir:v "A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results." ] ; fhir:comment [ fhir:v "Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether a measure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow for more useful comparisons." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.riskAdjustment" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-6" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.rateAggregation" ] ; fhir:path [ fhir:v "Measure.rateAggregation" ] ; fhir:short [ fhir:v "How is rate aggregation performed for this measure" ] ; fhir:definition [ fhir:v "Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result." ] ; fhir:comment [ fhir:v "The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.rateAggregation" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-7" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.rationale" ] ; fhir:path [ fhir:v "Measure.rationale" ] ; fhir:short [ fhir:v "Detailed description of why the measure exists" ] ; fhir:definition [ fhir:v "Provides a succinct statement of the need for the measure. Usually includes statements pertaining to importance criterion: impact, gap in care, and evidence." ] ; fhir:requirements [ fhir:v "Measure developers need to be able to provide a detailed description of the purpose of the measure. This element provides detailed rationale, where the purpose element provides a summary of the rationale." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.rationale" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.clinicalRecommendationStatement" ] ; fhir:path [ fhir:v "Measure.clinicalRecommendationStatement" ] ; fhir:short [ fhir:v "Summary of clinical guidelines" ] ; fhir:definition [ fhir:v "Provides a summary of relevant clinical guidelines or other clinical recommendations supporting the measure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.clinicalRecommendationStatement" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.improvementNotation" ] ; fhir:path [ fhir:v "Measure.improvementNotation" ] ; fhir:short [ fhir:v "increase | decrease" ] ; fhir:definition [ fhir:v "Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range)." ] ; fhir:requirements [ fhir:v "Measure consumers and implementers must be able to determine how to interpret a measure score." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.improvementNotation" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-4" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-improvement-notation"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/measure-improvement-notation> ] ] ] [ fhir:id [ fhir:v "Measure.definition" ] ; fhir:path [ fhir:v "Measure.definition" ] ; fhir:short [ fhir:v "Defined terms used in the measure documentation" ] ; fhir:definition [ fhir:v "Provides a description of an individual term used within the measure." ] ; fhir:requirements [ fhir:v "Measure developers must be able to provide precise definitions of terms used within measure descriptions and guidance to help communicate the intent of the measure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.definition" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.guidance" ] ; fhir:path [ fhir:v "Measure.guidance" ] ; fhir:short [ fhir:v "Additional guidance for implementers" ] ; fhir:definition [ fhir:v "Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure." ] ; fhir:requirements [ fhir:v "Measure developers must be able to provide additional guidance for implementers to understand the intent with greater specificity than that provided in the population criteria of the measure. This element provides detailed guidance, where the usage element provides a summary of the guidance." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.guidance" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "markdown"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group" ] ; fhir:path [ fhir:v "Measure.group" ] ; fhir:short [ fhir:v "Population criteria group" ] ; fhir:definition [ fhir:v "A group of population criteria for the measure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "cmp-8" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Scoring unit may only be specified at the root if the scoring is also specified at the root" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()" ] ] [ fhir:key [ fhir:v "cmp-9" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Improvement notation must be specified for scoring types other than cohort" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists()" ] ] [ fhir:key [ fhir:v "cmp-10" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Cohort measures have one and only one population criteria and that criteria has a code of initial-population" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'cohort' implies population.count() = 1 and population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'initial-population').allTrue()" ] ] [ fhir:key [ fhir:v "cmp-11" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures must have one and only one initial population" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'initial-population').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-12" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures must have one and only one denominator" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-13" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures must have one and only one numerator" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'numerator').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-14" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures may have at most one denominator-exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-15" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures may have at most one denominator-exception" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator-exception').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-16" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures may have at most one numerator-exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'numerator-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-17" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'denominator-exception' | 'numerator-exclusion')).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-18" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures must have between 1 and 2 initial population criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies (population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'initial-population').count() in (1 | 2))" ] ] [ fhir:key [ fhir:v "cmp-19" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures must have one and only one denominator" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-20" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures must have one and only one numerator" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'numerator').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-21" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures may have at most one denominator-exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-22" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures may have at most two measure-observation criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'measure-observation').count() <= 2" ] ] [ fhir:key [ fhir:v "cmp-23" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures may have at most one numerator-exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'numerator-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-24" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-25" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures must have one and only one initial population criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'initial-population').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-26" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures must have one and only one measure population" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'measure-population').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-27" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures must have one and only one measure observation" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'measure-observation').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-28" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures may have at most one measure population exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'measure-population-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-29" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-30" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Composite measures may not specify population criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0" ] ] [ fhir:key [ fhir:v "cmp-31" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Composite measures must specify composite scoring and at least one component" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists()" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.id" ] ; fhir:path [ fhir:v "Measure.group.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cqm-3" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "cqm-3" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "Group identifiers SHOULD use the convention: \"group-[group number]\", where [group number] corresponds with the group naming convention for the criteria within the group" ] ; fhir:expression [ fhir:v "startsWith('group-')" ] ; fhir:xpath [ fhir:v "exists(f:value)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.extension" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:ordered [ fhir:v "false"^^xsd:boolean ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:populationBasis" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "populationBasis" ] ; fhir:short [ fhir:v "What type of population" ] ; fhir:definition [ fhir:v "The population basis specifies the type of elements in the population. For a subject-based measure, this is boolean (because the subject and the population basis are the same, and the population criteria define yes/no values for each individual in the population). For measures that have a population basis that is different than the subject, this element specifies the type of the population basis. For example, an encounter-based measure has a subject of Patient and a population basis of Encounter, and the population criteria all return lists of Encounters." ] ; fhir:comment [ fhir:v "In Health Quality Measure Format, this was referred to as the Item Count metadata attribute." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:scoring" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "scoring" ] ; fhir:short [ fhir:v "proportion | ratio | continuous-variable | cohort" ] ; fhir:definition [ fhir:v "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-2" ] [ fhir:v "cmp-8" ] [ fhir:v "cmp-9" ] [ fhir:v "cmp-10" ] [ fhir:v "cmp-11" ] [ fhir:v "cmp-12" ] [ fhir:v "cmp-13" ] [ fhir:v "cmp-14" ] [ fhir:v "cmp-15" ] [ fhir:v "cmp-16" ] [ fhir:v "cmp-17" ] [ fhir:v "cmp-18" ] [ fhir:v "cmp-19" ] [ fhir:v "cmp-20" ] [ fhir:v "cmp-21" ] [ fhir:v "cmp-22" ] [ fhir:v "cmp-23" ] [ fhir:v "cmp-24" ] [ fhir:v "cmp-25" ] [ fhir:v "cmp-26" ] [ fhir:v "cmp-27" ] [ fhir:v "cmp-28" ] [ fhir:v "cmp-29" ] [ fhir:v "cmp-30" ] [ fhir:v "cmp-31" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:scoringUnit" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "scoringUnit" ] ; fhir:short [ fhir:v "What units?" ] ; fhir:definition [ fhir:v "Defines the expected units of measure for the measure score." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-8" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:scoringPrecision" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "scoringPrecision" ] ; fhir:short [ fhir:v "Number of decimal places" ] ; fhir:definition [ fhir:v "Defines the precision of the measure score when it is a decimal value." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:compositeScoring" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "compositeScoring" ] ; fhir:short [ fhir:v "proportion | ratio | continuous-variable | cohort" ] ; fhir:definition [ fhir:v "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-31" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:component" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "component" ] ; fhir:short [ fhir:v "What artifact" ] ; fhir:definition [ fhir:v "Specifies an artifact this is a component of a composite artifact." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-31" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:type" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "type" ] ; fhir:short [ fhir:v "process | outcome | structure | patient-reported-outcome" ] ; fhir:definition [ fhir:v "Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-5" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:riskAdjustment" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "riskAdjustment" ] ; fhir:short [ fhir:v "How risk adjustment is applied for this measure" ] ; fhir:definition [ fhir:v "A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results." ] ; fhir:comment [ fhir:v "Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether a measure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow for more useful comparisons." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-6" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:rateAggregation" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "rateAggregation" ] ; fhir:short [ fhir:v "How is rate aggregation performed for this measure" ] ; fhir:definition [ fhir:v "Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result." ] ; fhir:comment [ fhir:v "The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-7" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:improvementNotation" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "improvementNotation" ] ; fhir:short [ fhir:v "increase | decrease" ] ; fhir:definition [ fhir:v "Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range)." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] [ fhir:v "cmp-9" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.modifierExtension" ] ; fhir:path [ fhir:v "Measure.group.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.code" ] ; fhir:path [ fhir:v "Measure.group.code" ] ; fhir:short [ fhir:v "Meaning of the group" ] ; fhir:definition [ fhir:v "Indicates a meaning for the group. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing groups to be correlated across measures." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.description" ] ; fhir:path [ fhir:v "Measure.group.description" ] ; fhir:short [ fhir:v "Summary description" ] ; fhir:definition [ fhir:v "The human readable description of this population group." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.description" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.population" ] ; fhir:path [ fhir:v "Measure.group.population" ] ; fhir:short [ fhir:v "Population criteria" ] ; fhir:definition [ fhir:v "A population criteria for the measure." ] ; fhir:requirements [ fhir:v "A measure must specify at least one population or composite calculation for each population group." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.population" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-10" ] [ fhir:v "cmp-11" ] [ fhir:v "cmp-12" ] [ fhir:v "cmp-13" ] [ fhir:v "cmp-14" ] [ fhir:v "cmp-15" ] [ fhir:v "cmp-16" ] [ fhir:v "cmp-17" ] [ fhir:v "cmp-18" ] [ fhir:v "cmp-19" ] [ fhir:v "cmp-20" ] [ fhir:v "cmp-21" ] [ fhir:v "cmp-22" ] [ fhir:v "cmp-23" ] [ fhir:v "cmp-24" ] [ fhir:v "cmp-25" ] [ fhir:v "cmp-26" ] [ fhir:v "cmp-27" ] [ fhir:v "cmp-28" ] [ fhir:v "cmp-29" ] [ fhir:v "cmp-30" ] [ fhir:v "cmp-32" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "cmp-32" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Computable measures must use text/cql-expression or text/cql-identifier for all criteria" ] ; fhir:expression [ fhir:v "criteria.language in ('text/cql-expression' | 'text/cql-identifier')" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.population.id" ] ; fhir:path [ fhir:v "Measure.group.population.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:requirements [ fhir:v "A measure must specify at least one population or composite calculation for each population group." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.population.extension" ] ; fhir:path [ fhir:v "Measure.group.population.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.population.modifierExtension" ] ; fhir:path [ fhir:v "Measure.group.population.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.population.code" ] ; fhir:path [ fhir:v "Measure.group.population.code" ] ; fhir:short [ fhir:v "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation" ] ; fhir:definition [ fhir:v "The type of population criteria." ] ; fhir:requirements [ fhir:v "A measure must specify the type of population criteria." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.population.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; fhir:binding [ fhir:strength [ fhir:v "extensible" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-population"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/measure-population> ] ] ] [ fhir:id [ fhir:v "Measure.group.population.description" ] ; fhir:path [ fhir:v "Measure.group.population.description" ] ; fhir:short [ fhir:v "The human readable description of this population criteria" ] ; fhir:definition [ fhir:v "The human readable description of this population criteria." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.population.description" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.population.criteria" ] ; fhir:path [ fhir:v "Measure.group.population.criteria" ] ; fhir:short [ fhir:v "The criteria that defines this population. The alternativeExpression extension may be used to provide alternative formulations of the expression" ] ; fhir:definition [ fhir:v "The name of a valid referenced CQL expression (MUST NOT be namespaced) that defines this population criteria. The alternativeExpression extension may be used to provide alternative formulations of the expression but the expressions must yield the same count for the population." ] ; fhir:comment [ fhir:v "In the case of a continuous-variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.population.criteria" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Expression"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "cqm-4" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace." ] ; fhir:expression [ fhir:v "expression.contains('.').not()" ] ; fhir:xpath [ fhir:v "exists(f:value)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier" ] ; fhir:path [ fhir:v "Measure.group.stratifier" ] ; fhir:short [ fhir:v "Stratifier criteria for the measure" ] ; fhir:definition [ fhir:v "The stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library or a valid FHIR Resource Path." ] ; fhir:requirements [ fhir:v "A measure should provide stratification information if appropriate for the measure content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.stratifier" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-33" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "cmp-33" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria" ] ; fhir:expression [ fhir:v "criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.id" ] ; fhir:path [ fhir:v "Measure.group.stratifier.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:requirements [ fhir:v "A measure should provide stratification information if appropriate for the measure content." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.stratifier.extension" ] ; fhir:path [ fhir:v "Measure.group.stratifier.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:ordered [ fhir:v "false"^^xsd:boolean ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.extension:appliesTo" ] ; fhir:path [ fhir:v "Measure.group.stratifier.extension" ] ; fhir:sliceName [ fhir:v "appliesTo" ] ; fhir:short [ fhir:v "Which population should this stratification apply to? If none is specified, the stratification applies to all populations in the group." ] ; fhir:definition [ fhir:v "Indicates the population that this stratifier should apply to." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.modifierExtension" ] ; fhir:path [ fhir:v "Measure.group.stratifier.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.stratifier.code" ] ; fhir:path [ fhir:v "Measure.group.stratifier.code" ] ; fhir:short [ fhir:v "Meaning of the stratifier" ] ; fhir:definition [ fhir:v "Indicates a meaning for the stratifier. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.stratifier.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.description" ] ; fhir:path [ fhir:v "Measure.group.stratifier.description" ] ; fhir:short [ fhir:v "The human readable description of this stratifier" ] ; fhir:definition [ fhir:v "The human readable description of this stratifier criteria." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.stratifier.description" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.criteria" ] ; fhir:path [ fhir:v "Measure.group.stratifier.criteria" ] ; fhir:short [ fhir:v "How the measure should be stratified. The alternativeExpression extension may be used to provide alternative formulations of the expression" ] ; fhir:definition [ fhir:v "The name of a valid referenced CQL expression (MUST NOT be namespaced) that defines this population criteria. The alternativeExpression extension may be used to provide alternative formulations of the expression but the expressions must yield the same count for the population." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.stratifier.criteria" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Expression"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "cqm-5" ] ; fhir:severity [ fhir:v "warning" ] ; fhir:human [ fhir:v "Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace." ] ; fhir:expression [ fhir:v "expression.contains('.').not()" ] ; fhir:xpath [ fhir:v "exists(f:value)" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/measure-cqfm> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.component" ] ; fhir:path [ fhir:v "Measure.group.stratifier.component" ] ; fhir:short [ fhir:v "Stratifier criteria component for the measure" ] ; fhir:definition [ fhir:v "A component of the stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library or a valid FHIR Resource Path." ] ; fhir:comment [ fhir:v "Stratifiers are defined either as a single criteria, or as a set of component criteria." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.stratifier.component" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-34" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "cmp-34" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria" ] ; fhir:expression [ fhir:v "criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.component.id" ] ; fhir:path [ fhir:v "Measure.group.stratifier.component.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.stratifier.component.extension" ] ; fhir:path [ fhir:v "Measure.group.stratifier.component.extension" ] ; fhir:short [ fhir:v "Additional content defined by implementations" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.stratifier.component.modifierExtension" ] ; fhir:path [ fhir:v "Measure.group.stratifier.component.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Measure.group.stratifier.component.code" ] ; fhir:path [ fhir:v "Measure.group.stratifier.component.code" ] ; fhir:short [ fhir:v "Meaning of the stratifier component" ] ; fhir:definition [ fhir:v "Indicates a meaning for the stratifier component. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.stratifier.component.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.component.description" ] ; fhir:path [ fhir:v "Measure.group.stratifier.component.description" ] ; fhir:short [ fhir:v "The human readable description of this stratifier component" ] ; fhir:definition [ fhir:v "The human readable description of this stratifier criteria component." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.stratifier.component.description" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.component.criteria" ] ; fhir:path [ fhir:v "Measure.group.stratifier.component.criteria" ] ; fhir:short [ fhir:v "Component of how the measure should be stratified" ] ; fhir:definition [ fhir:v "An expression that specifies the criteria for this component of the stratifier. This is typically the name of an expression defined within a referenced library, but it may also be a path to a stratifier element." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.group.stratifier.component.criteria" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Expression"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.supplementalData" ] ; fhir:path [ fhir:v "Measure.supplementalData" ] ; fhir:short [ fhir:v "What other data should be reported with the measure" ] ; fhir:definition [ fhir:v "The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path." ] ; fhir:comment [ fhir:v "Note that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information." ] ; fhir:requirements [ fhir:v "A measure should provide supplemental data appropriate for the measure content." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.supplementalData" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "BackboneElement"^^xsd:anyURI ] ] ) ; ( fhir:condition [ fhir:v "cmp-34" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "cmp-35" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria" ] ; fhir:expression [ fhir:v "criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.supplementalData.id" ] ; fhir:path [ fhir:v "Measure.supplementalData.id" ] ; ( fhir:representation [ fhir:v "xmlAttr" ] ) ; fhir:short [ fhir:v "Unique id for inter-element referencing" ] ; fhir:definition [ fhir:v "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ; fhir:requirements [ fhir:v "A measure should provide supplemental data appropriate for the measure content." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Element.id" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"^^xsd:anyURI ] ; fhir:value [ fhir:v "string"^^xsd:anyURI ] ] ) ; fhir:code [ fhir:v "http://hl7.org/fhirpath/System.String"^^xsd:anyURI ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "n/a" ] ] ) ] [ fhir:id [ fhir:v "Measure.supplementalData.extension" ] ; fhir:path [ fhir:v "Measure.supplementalData.extension" ] ; fhir:slicing [ ( fhir:discriminator [ fhir:type [ fhir:v "value" ] ; fhir:path [ fhir:v "url" ] ] ) ; fhir:ordered [ fhir:v "false"^^xsd:boolean ] ; fhir:rules [ fhir:v "open" ] ] ; fhir:short [ fhir:v "Extension" ] ; fhir:definition [ fhir:v "An Extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.supplementalData.extension:includeInReportType" ] ; fhir:path [ fhir:v "Measure.supplementalData.extension" ] ; fhir:sliceName [ fhir:v "includeInReportType" ] ; fhir:short [ fhir:v "The type of report the element should be included in" ] ; fhir:definition [ fhir:v "Indicates what types of report the element on which it appears should be included in. If no values are specified, the default behavior is that elements are included in all report types." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Element.extension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType> ] ) ] ) ; ( fhir:condition [ fhir:v "ele-1" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.supplementalData.modifierExtension" ] ; fhir:path [ fhir:v "Measure.supplementalData.modifierExtension" ] ; fhir:short [ fhir:v "Extensions that cannot be ignored even if unrecognized" ] ; fhir:definition [ fhir:v "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ; fhir:comment [ fhir:v "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ; fhir:requirements [ fhir:v "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/extensibility.html#modifierExtension)." ] ; ( fhir:alias [ fhir:v "extensions" ] [ fhir:v "user content" ] [ fhir:v "modifiers" ] ) ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "BackboneElement.modifierExtension" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] [ fhir:key [ fhir:v "ext-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Must have either extensions or value[x], not both" ] ; fhir:expression [ fhir:v "extension.exists() != value.exists()" ] ; fhir:xpath [ fhir:v "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Extension"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Extension> ] ] ) ; fhir:isModifier [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifierReason [ fhir:v "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ; fhir:isSummary [ fhir:v "true"^^xsd:boolean ] ; ( fhir:mapping [ fhir:identity [ fhir:v "rim" ] ; fhir:map [ fhir:v "N/A" ] ] ) ] [ fhir:id [ fhir:v "Measure.supplementalData.code" ] ; fhir:path [ fhir:v "Measure.supplementalData.code" ] ; fhir:short [ fhir:v "Meaning of the supplemental data" ] ; fhir:definition [ fhir:v "Indicates a meaning for the supplemental data. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing supplemental data to be correlated across measures." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.supplementalData.code" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; fhir:binding [ fhir:strength [ fhir:v "preferred" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-supplemental-data"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/measure-supplemental-data> ] ] ] [ fhir:id [ fhir:v "Measure.supplementalData.usage" ] ; fhir:path [ fhir:v "Measure.supplementalData.usage" ] ; fhir:short [ fhir:v "supplemental-data | risk-adjustment-factor" ] ; fhir:definition [ fhir:v "An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; fhir:base [ fhir:path [ fhir:v "Measure.supplementalData.usage" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ] ; ( fhir:type [ fhir:code [ fhir:v "CodeableConcept"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ; fhir:binding [ fhir:strength [ fhir:v "preferred" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-data-usage"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/measure-data-usage> ] ] ] [ fhir:id [ fhir:v "Measure.supplementalData.description" ] ; fhir:path [ fhir:v "Measure.supplementalData.description" ] ; fhir:short [ fhir:v "The human readable description of this supplemental data" ] ; fhir:definition [ fhir:v "The human readable description of this supplemental data." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.supplementalData.description" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "string"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.supplementalData.criteria" ] ; fhir:path [ fhir:v "Measure.supplementalData.criteria" ] ; fhir:short [ fhir:v "Expression describing additional data to be reported" ] ; fhir:definition [ fhir:v "The criteria for the supplemental data. This is typically the name of a valid expression defined within a referenced library, but it may also be a path to a specific data element. The criteria defines the data to be returned for this element." ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; fhir:base [ fhir:path [ fhir:v "Measure.supplementalData.criteria" ] ; fhir:min [ fhir:v "1"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ] ; ( fhir:type [ fhir:code [ fhir:v "Expression"^^xsd:anyURI ] ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "ele-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "All FHIR elements must have a @value or children" ] ; fhir:expression [ fhir:v "hasValue() or (children().count() > id.count())" ] ; fhir:xpath [ fhir:v "@value|f:*|h:div" ] ; fhir:source [ fhir:v "http://hl7.org/fhir/StructureDefinition/Element"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/StructureDefinition/Element> ] ] ) ; fhir:isModifier [ fhir:v "false"^^xsd:boolean ] ; fhir:isSummary [ fhir:v "false"^^xsd:boolean ] ] ) ] ; # fhir:differential [ ( fhir:element [ fhir:id [ fhir:v "Measure" ] ; fhir:path [ fhir:v "Measure" ] ; ( fhir:constraint [ fhir:key [ fhir:v "cmp-1" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Population basis must be specified at the root, or on each group" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-2" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Scoring must be specified at the root, or on each group" ] ; fhir:expression [ fhir:v "scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-3" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Scoring unit may only be specified at the root if the scoring is also specified at the root" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists()" ] ] [ fhir:key [ fhir:v "cmp-4" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Improvement notation must be specified for scoring types other than cohort" ] ; fhir:expression [ fhir:v "scoring.exists() and scoring in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()" ] ] [ fhir:key [ fhir:v "cmp-5" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If type is specified at the root, it may not be specified on any group" ] ; fhir:expression [ fhir:v "type.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type').exists()).allFalse()" ] ] [ fhir:key [ fhir:v "cmp-6" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If riskAdjustment is specified at the root, it may not be specified on any group" ] ; fhir:expression [ fhir:v "riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse()" ] ] [ fhir:key [ fhir:v "cmp-7" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "If rateAggregation is specified at the root, it may not be specified on any group" ] ; fhir:expression [ fhir:v "rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse()" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:populationBasis" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "populationBasis" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-1" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:scoringUnit" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "scoringUnit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-3" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:effectiveDataRequirements" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "effectiveDataRequirements" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements> ] ) ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.extension:scoringPrecision" ] ; fhir:path [ fhir:v "Measure.extension" ] ; fhir:sliceName [ fhir:v "scoringPrecision" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision> ] ) ] ) ] [ fhir:id [ fhir:v "Measure.library" ] ; fhir:path [ fhir:v "Measure.library" ] ; ( fhir:type [ fhir:code [ fhir:v "canonical"^^xsd:anyURI ] ; ( fhir:targetProfile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-library-cqfm> ] ) ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.scoring" ] ; fhir:path [ fhir:v "Measure.scoring" ] ; ( fhir:condition [ fhir:v "cmp-2" ] [ fhir:v "cmp-3" ] [ fhir:v "cmp-4" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ fhir:strength [ fhir:v "extensible" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-scoring"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/measure-scoring> ] ] ] [ fhir:id [ fhir:v "Measure.type" ] ; fhir:path [ fhir:v "Measure.type" ] ; ( fhir:condition [ fhir:v "cmp-5" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.riskAdjustment" ] ; fhir:path [ fhir:v "Measure.riskAdjustment" ] ; ( fhir:condition [ fhir:v "cmp-6" ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.rateAggregation" ] ; fhir:path [ fhir:v "Measure.rateAggregation" ] ; ( fhir:condition [ fhir:v "cmp-7" ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.improvementNotation" ] ; fhir:path [ fhir:v "Measure.improvementNotation" ] ; ( fhir:condition [ fhir:v "cmp-4" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ; fhir:binding [ fhir:strength [ fhir:v "required" ] ; fhir:valueSet [ fhir:v "http://terminology.hl7.org/ValueSet/measure-improvement-notation"^^xsd:anyURI ; fhir:link <http://terminology.hl7.org/ValueSet/measure-improvement-notation> ] ] ] [ fhir:id [ fhir:v "Measure.group" ] ; fhir:path [ fhir:v "Measure.group" ] ; ( fhir:constraint [ fhir:key [ fhir:v "cmp-8" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Scoring unit may only be specified at the root if the scoring is also specified at the root" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()" ] ] [ fhir:key [ fhir:v "cmp-9" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Improvement notation must be specified for scoring types other than cohort" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists()" ] ] [ fhir:key [ fhir:v "cmp-10" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Cohort measures have one and only one population criteria and that criteria has a code of initial-population" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'cohort' implies population.count() = 1 and population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'initial-population').allTrue()" ] ] [ fhir:key [ fhir:v "cmp-11" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures must have one and only one initial population" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'initial-population').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-12" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures must have one and only one denominator" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-13" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures must have one and only one numerator" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'numerator').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-14" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures may have at most one denominator-exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-15" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures may have at most one denominator-exception" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator-exception').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-16" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures may have at most one numerator-exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'numerator-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-17" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'proportion' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'denominator-exception' | 'numerator-exclusion')).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-18" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures must have between 1 and 2 initial population criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies (population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'initial-population').count() in (1 | 2))" ] ] [ fhir:key [ fhir:v "cmp-19" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures must have one and only one denominator" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-20" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures must have one and only one numerator" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'numerator').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-21" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures may have at most one denominator-exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'denominator-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-22" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures may have at most two measure-observation criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'measure-observation').count() <= 2" ] ] [ fhir:key [ fhir:v "cmp-23" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures may have at most one numerator-exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'numerator-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-24" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'ratio' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-25" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures must have one and only one initial population criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'initial-population').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-26" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures must have one and only one measure population" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'measure-population').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-27" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures must have one and only one measure observation" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'measure-observation').count() = 1" ] ] [ fhir:key [ fhir:v "cmp-28" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures may have at most one measure population exclusion" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code contains 'measure-population-exclusion').count() <= 1" ] ] [ fhir:key [ fhir:v "cmp-29" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue()" ] ] [ fhir:key [ fhir:v "cmp-30" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Composite measures may not specify population criteria" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0" ] ] [ fhir:key [ fhir:v "cmp-31" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Composite measures must specify composite scoring and at least one component" ] ; fhir:expression [ fhir:v "extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists()" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:populationBasis" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "populationBasis" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-1" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:scoring" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "scoring" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-2" ] [ fhir:v "cmp-8" ] [ fhir:v "cmp-9" ] [ fhir:v "cmp-10" ] [ fhir:v "cmp-11" ] [ fhir:v "cmp-12" ] [ fhir:v "cmp-13" ] [ fhir:v "cmp-14" ] [ fhir:v "cmp-15" ] [ fhir:v "cmp-16" ] [ fhir:v "cmp-17" ] [ fhir:v "cmp-18" ] [ fhir:v "cmp-19" ] [ fhir:v "cmp-20" ] [ fhir:v "cmp-21" ] [ fhir:v "cmp-22" ] [ fhir:v "cmp-23" ] [ fhir:v "cmp-24" ] [ fhir:v "cmp-25" ] [ fhir:v "cmp-26" ] [ fhir:v "cmp-27" ] [ fhir:v "cmp-28" ] [ fhir:v "cmp-29" ] [ fhir:v "cmp-30" ] [ fhir:v "cmp-31" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:scoringUnit" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "scoringUnit" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-8" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:scoringPrecision" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "scoringPrecision" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision> ] ) ] ) ] [ fhir:id [ fhir:v "Measure.group.extension:compositeScoring" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "compositeScoring" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-31" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:component" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "component" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-31" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:type" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "type" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-5" ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:riskAdjustment" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "riskAdjustment" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-6" ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:rateAggregation" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "rateAggregation" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-7" ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.extension:improvementNotation" ] ; fhir:path [ fhir:v "Measure.group.extension" ] ; fhir:sliceName [ fhir:v "improvementNotation" ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "1" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation> ] ) ] ) ; ( fhir:condition [ fhir:v "cmp-9" ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.population" ] ; fhir:path [ fhir:v "Measure.group.population" ] ; ( fhir:condition [ fhir:v "cmp-10" ] [ fhir:v "cmp-11" ] [ fhir:v "cmp-12" ] [ fhir:v "cmp-13" ] [ fhir:v "cmp-14" ] [ fhir:v "cmp-15" ] [ fhir:v "cmp-16" ] [ fhir:v "cmp-17" ] [ fhir:v "cmp-18" ] [ fhir:v "cmp-19" ] [ fhir:v "cmp-20" ] [ fhir:v "cmp-21" ] [ fhir:v "cmp-22" ] [ fhir:v "cmp-23" ] [ fhir:v "cmp-24" ] [ fhir:v "cmp-25" ] [ fhir:v "cmp-26" ] [ fhir:v "cmp-27" ] [ fhir:v "cmp-28" ] [ fhir:v "cmp-29" ] [ fhir:v "cmp-30" ] [ fhir:v "cmp-32" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "cmp-32" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Computable measures must use text/cql-expression or text/cql-identifier for all criteria" ] ; fhir:expression [ fhir:v "criteria.language in ('text/cql-expression' | 'text/cql-identifier')" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier" ] ; fhir:path [ fhir:v "Measure.group.stratifier" ] ; ( fhir:condition [ fhir:v "cmp-33" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "cmp-33" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria" ] ; fhir:expression [ fhir:v "criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.extension:appliesTo" ] ; fhir:path [ fhir:v "Measure.group.stratifier.extension" ] ; fhir:sliceName [ fhir:v "appliesTo" ] ; fhir:short [ fhir:v "Which population should this stratification apply to? If none is specified, the stratification applies to all populations in the group." ] ; fhir:min [ fhir:v "0"^^xsd:nonNegativeInteger ] ; fhir:max [ fhir:v "*" ] ; ( fhir:type [ fhir:code [ fhir:v "Extension"^^xsd:anyURI ] ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo> ] ) ] ) ; fhir:mustSupport [ fhir:v "false"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.group.stratifier.component" ] ; fhir:path [ fhir:v "Measure.group.stratifier.component" ] ; ( fhir:condition [ fhir:v "cmp-34" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "cmp-34" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria" ] ; fhir:expression [ fhir:v "criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] [ fhir:id [ fhir:v "Measure.supplementalData" ] ; fhir:path [ fhir:v "Measure.supplementalData" ] ; ( fhir:condition [ fhir:v "cmp-34" ] ) ; ( fhir:constraint [ fhir:key [ fhir:v "cmp-35" ] ; fhir:severity [ fhir:v "error" ] ; fhir:human [ fhir:v "Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria" ] ; fhir:expression [ fhir:v "criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')" ] ] ) ; fhir:mustSupport [ fhir:v "true"^^xsd:boolean ] ] ) ] . #
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.cqfmeasures#5.0.0-ballot based on FHIR 4.0.1. Generated 2023-12-15
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