Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Official URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-codesystem-cqfm | Version: 4.0.0 | |||
| Draft as of 2019-06-06 | Computable Name: CQFMPublishableCodeSystem | |||
Defines the expectations for publishable code systems used with quality measure specifications
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Shareable CodeSystem
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  CodeSystem | 1..1 | Shareable CodeSystem | Declares the existence of and describes a code system or code system supplement | |
  approvalDate | S | 0..1 | date | When resource approved by publisher URL: http://hl7.org/fhir/StructureDefinition/resource-approvalDate |
| effectiveDate | S | 0..1 | date | When the value set version becomes Active and is available for use URL: http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate |
| expirationDate | S | 0..1 | date | When the value set version should no longer be used URL: http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate |
| lastReviewDate | S | 0..1 | date | Last review date for the resource URL: http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate |
| author | 0..* | string | User or Org actually involved in creating the value set content URL: http://hl7.org/fhir/StructureDefinition/codesystem-author | |
| keyWord | 0..* | string | Descriptors and key terms for search URL: http://hl7.org/fhir/StructureDefinition/codesystem-keyWord | |
| sourceReference | S | 0..1 | uri | Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference |
 identifier | 0..* | Identifier | Additional identifier for the code system (business identifier) | |
| title | 1..1 | string | Name for this code system (human friendly) | |
| date | 1..1 | dateTime | Date last changed | |
| contact | 0..* | ContactDetail | Contact details for the publisher | |
| useContext | S | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | S | 0..* | CodeableConcept | Intended jurisdiction for code system (if applicable) |
| purpose | 0..1 | markdown | Why this code system is defined | |
| copyright | S | 0..1 | markdown | Use and/or publishing restrictions |
 caseSensitive | 1..1 | boolean | If code comparison is case sensitive | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CodeSystem | C | 1..1 | Shareable CodeSystem | Declares the existence of and describes a code system or code system supplement |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| approvalDate | S | 0..1 | date | When resource approved by publisher URL: http://hl7.org/fhir/StructureDefinition/resource-approvalDate |
| effectiveDate | S | 0..1 | date | When the value set version becomes Active and is available for use URL: http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate |
| expirationDate | S | 0..1 | date | When the value set version should no longer be used URL: http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate |
| lastReviewDate | S | 0..1 | date | Last review date for the resource URL: http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate |
| author | 0..* | string | User or Org actually involved in creating the value set content URL: http://hl7.org/fhir/StructureDefinition/codesystem-author | |
| keyWord | 0..* | string | Descriptors and key terms for search URL: http://hl7.org/fhir/StructureDefinition/codesystem-keyWord | |
| sourceReference | S | 0..1 | uri | Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| url | Σ | 1..1 | uri | Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system) |
 identifier | Σ | 0..* | Identifier | Additional identifier for the code system (business identifier) |
| version | Σ | 1..1 | string | Business version of the code system (Coding.version) |
| name | ΣC | 1..1 | string | Name for this code system (computer friendly) |
| title | Σ | 1..1 | string | Name for this code system (human friendly) |
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage |
| date | Σ | 1..1 | dateTime | Date last changed |
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) |
| contact | Σ | 0..* | ContactDetail | Contact details for the publisher |
| description | 1..1 | markdown | Natural language description of the code system | |
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for code system (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
| purpose | 0..1 | markdown | Why this code system is defined | |
| copyright | S | 0..1 | markdown | Use and/or publishing restrictions |
| caseSensitive | Σ | 1..1 | boolean | If code comparison is case sensitive |
| content | Σ | 1..1 | code | not-present | example | fragment | complete | supplement Binding: CodeSystemContentMode (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource. |
 concept | 1..* | BackboneElement | Concepts in the code system | |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | code | Code that identifies concept | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| CodeSystem.status | required | PublicationStatus |
| CodeSystem.jurisdiction | extensible | Jurisdiction ValueSet |
| CodeSystem.content | required | CodeSystemContentMode |
| Id | Grade | Path(s) | Details | Requirements |
| csd-0 | warning | CodeSystem | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| csd-1 | error | CodeSystem | Within a code system definition, all the codes SHALL be unique : concept.code.combine($this.descendants().concept.code).isDistinct() | |
| dom-2 | error | CodeSystem | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CodeSystem | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CodeSystem | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CodeSystem | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CodeSystem | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| CodeSystem | C | 1..1 | Shareable CodeSystem | Declares the existence of and describes a code system or code system supplement | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| approvalDate | S | 0..1 | date | When resource approved by publisher URL: http://hl7.org/fhir/StructureDefinition/resource-approvalDate | ||||
| effectiveDate | S | 0..1 | date | When the value set version becomes Active and is available for use URL: http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate | ||||
| expirationDate | S | 0..1 | date | When the value set version should no longer be used URL: http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate | ||||
| lastReviewDate | S | 0..1 | date | Last review date for the resource URL: http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate | ||||
| author | 0..* | string | User or Org actually involved in creating the value set content URL: http://hl7.org/fhir/StructureDefinition/codesystem-author | |||||
| keyWord | 0..* | string | Descriptors and key terms for search URL: http://hl7.org/fhir/StructureDefinition/codesystem-keyWord | |||||
| sourceReference | S | 0..1 | uri | Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url | Σ | 1..1 | uri | Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system) | ||||
| identifier | Σ | 0..* | Identifier | Additional identifier for the code system (business identifier) | ||||
| version | Σ | 1..1 | string | Business version of the code system (Coding.version) | ||||
| name | ΣC | 1..1 | string | Name for this code system (computer friendly) | ||||
| title | Σ | 1..1 | string | Name for this code system (human friendly) | ||||
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage | ||||
| date | Σ | 1..1 | dateTime | Date last changed | ||||
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
| contact | Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description | 1..1 | markdown | Natural language description of the code system | |||||
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for code system (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose | 0..1 | markdown | Why this code system is defined | |||||
| copyright | S | 0..1 | markdown | Use and/or publishing restrictions | ||||
| caseSensitive | Σ | 1..1 | boolean | If code comparison is case sensitive | ||||
| valueSet | Σ | 0..1 | canonical(ValueSet) | Canonical reference to the value set with entire code system | ||||
| hierarchyMeaning | Σ | 0..1 | code | grouped-by | is-a | part-of | classified-with Binding: CodeSystemHierarchyMeaning (required): The meaning of the hierarchy of concepts in a code system. | ||||
| compositional | Σ | 0..1 | boolean | If code system defines a compositional grammar | ||||
| versionNeeded | Σ | 0..1 | boolean | If definitions are not stable | ||||
| content | Σ | 1..1 | code | not-present | example | fragment | complete | supplement Binding: CodeSystemContentMode (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource. | ||||
| supplements | Σ | 0..1 | canonical(CodeSystem) | Canonical URL of Code System this adds designations and properties to | ||||
| count | Σ | 0..1 | unsignedInt | Total concepts in the code system | ||||
 filter | Σ | 0..* | BackboneElement | Filter that can be used in a value set | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | code | Code that identifies the filter | ||||
| description | Σ | 0..1 | string | How or why the filter is used | ||||
| operator | Σ | 1..* | code | = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists Binding: FilterOperator (required): The kind of operation to perform as a part of a property based filter. | ||||
| value | Σ | 1..1 | string | What to use for the value | ||||
| property | Σ | 0..* | BackboneElement | Additional information supplied about each concept | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | code | Identifies the property on the concepts, and when referred to in operations | ||||
| uri | Σ | 0..1 | uri | Formal identifier for the property | ||||
| description | Σ | 0..1 | string | Why the property is defined, and/or what it conveys | ||||
| type | Σ | 1..1 | code | code | Coding | string | integer | boolean | dateTime | decimal Binding: PropertyType (required): The type of a property value. | ||||
| concept | 1..* | BackboneElement | Concepts in the code system | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | Code that identifies concept | |||||
| display | 0..1 | string | Text to display to the user | |||||
| definition | 0..1 | string | Formal definition | |||||
| designation | 0..* | BackboneElement | Additional representations for the concept | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| language | 0..1 | code | Human language of the designation Binding: CommonLanguages (preferred): A human language.
| |||||
| use | 0..1 | Coding | Details how this designation would be used Binding: DesignationUse (extensible): Details of how a designation would be used. | |||||
| value | 1..1 | string | The text value for this designation | |||||
| property | 0..* | BackboneElement | Property value for the concept | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | Reference to CodeSystem.property.code | |||||
 value[x] | 1..1 | Value of the property for this concept | ||||||
| valueCode | code | |||||||
| valueCoding | Coding | |||||||
| valueString | string | |||||||
| valueInteger | integer | |||||||
| valueBoolean | boolean | |||||||
| valueDateTime | dateTime | |||||||
| valueDecimal | decimal | |||||||
| concept | 0..* | See concept (CodeSystem) | Child Concepts (is-a/contains/categorizes) | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| CodeSystem.language | preferred | CommonLanguages
| ||||
| CodeSystem.status | required | PublicationStatus | ||||
| CodeSystem.jurisdiction | extensible | Jurisdiction ValueSet | ||||
| CodeSystem.hierarchyMeaning | required | CodeSystemHierarchyMeaning | ||||
| CodeSystem.content | required | CodeSystemContentMode | ||||
| CodeSystem.filter.operator | required | FilterOperator | ||||
| CodeSystem.property.type | required | PropertyType | ||||
| CodeSystem.concept.designation.language | preferred | CommonLanguages
| ||||
| CodeSystem.concept.designation.use | extensible | DesignationUse |
| Id | Grade | Path(s) | Details | Requirements |
| csd-0 | warning | CodeSystem | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| csd-1 | error | CodeSystem | Within a code system definition, all the codes SHALL be unique : concept.code.combine($this.descendants().concept.code).isDistinct() | |
| dom-2 | error | CodeSystem | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CodeSystem | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CodeSystem | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CodeSystem | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CodeSystem | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Shareable CodeSystem
Summary
Mandatory: 3 elements
Must-Support: 8 elements
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Shareable CodeSystem
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CodeSystem | 1..1 | Shareable CodeSystem | Declares the existence of and describes a code system or code system supplement | |
| approvalDate | S | 0..1 | date | When resource approved by publisher URL: http://hl7.org/fhir/StructureDefinition/resource-approvalDate |
| effectiveDate | S | 0..1 | date | When the value set version becomes Active and is available for use URL: http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate |
| expirationDate | S | 0..1 | date | When the value set version should no longer be used URL: http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate |
| lastReviewDate | S | 0..1 | date | Last review date for the resource URL: http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate |
| author | 0..* | string | User or Org actually involved in creating the value set content URL: http://hl7.org/fhir/StructureDefinition/codesystem-author | |
| keyWord | 0..* | string | Descriptors and key terms for search URL: http://hl7.org/fhir/StructureDefinition/codesystem-keyWord | |
| sourceReference | S | 0..1 | uri | Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference |
| identifier | 0..* | Identifier | Additional identifier for the code system (business identifier) | |
| title | 1..1 | string | Name for this code system (human friendly) | |
| date | 1..1 | dateTime | Date last changed | |
| contact | 0..* | ContactDetail | Contact details for the publisher | |
| useContext | S | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | S | 0..* | CodeableConcept | Intended jurisdiction for code system (if applicable) |
| purpose | 0..1 | markdown | Why this code system is defined | |
| copyright | S | 0..1 | markdown | Use and/or publishing restrictions |
| caseSensitive | 1..1 | boolean | If code comparison is case sensitive | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| CodeSystem | C | 1..1 | Shareable CodeSystem | Declares the existence of and describes a code system or code system supplement |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| approvalDate | S | 0..1 | date | When resource approved by publisher URL: http://hl7.org/fhir/StructureDefinition/resource-approvalDate |
| effectiveDate | S | 0..1 | date | When the value set version becomes Active and is available for use URL: http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate |
| expirationDate | S | 0..1 | date | When the value set version should no longer be used URL: http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate |
| lastReviewDate | S | 0..1 | date | Last review date for the resource URL: http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate |
| author | 0..* | string | User or Org actually involved in creating the value set content URL: http://hl7.org/fhir/StructureDefinition/codesystem-author | |
| keyWord | 0..* | string | Descriptors and key terms for search URL: http://hl7.org/fhir/StructureDefinition/codesystem-keyWord | |
| sourceReference | S | 0..1 | uri | Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| url | Σ | 1..1 | uri | Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system) |
| identifier | Σ | 0..* | Identifier | Additional identifier for the code system (business identifier) |
| version | Σ | 1..1 | string | Business version of the code system (Coding.version) |
| name | ΣC | 1..1 | string | Name for this code system (computer friendly) |
| title | Σ | 1..1 | string | Name for this code system (human friendly) |
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage |
| date | Σ | 1..1 | dateTime | Date last changed |
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) |
| contact | Σ | 0..* | ContactDetail | Contact details for the publisher |
| description | 1..1 | markdown | Natural language description of the code system | |
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for code system (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
| purpose | 0..1 | markdown | Why this code system is defined | |
| copyright | S | 0..1 | markdown | Use and/or publishing restrictions |
| caseSensitive | Σ | 1..1 | boolean | If code comparison is case sensitive |
| content | Σ | 1..1 | code | not-present | example | fragment | complete | supplement Binding: CodeSystemContentMode (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource. |
| concept | 1..* | BackboneElement | Concepts in the code system | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | 1..1 | code | Code that identifies concept | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| CodeSystem.status | required | PublicationStatus |
| CodeSystem.jurisdiction | extensible | Jurisdiction ValueSet |
| CodeSystem.content | required | CodeSystemContentMode |
| Id | Grade | Path(s) | Details | Requirements |
| csd-0 | warning | CodeSystem | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| csd-1 | error | CodeSystem | Within a code system definition, all the codes SHALL be unique : concept.code.combine($this.descendants().concept.code).isDistinct() | |
| dom-2 | error | CodeSystem | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CodeSystem | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CodeSystem | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CodeSystem | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CodeSystem | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| CodeSystem | C | 1..1 | Shareable CodeSystem | Declares the existence of and describes a code system or code system supplement | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| approvalDate | S | 0..1 | date | When resource approved by publisher URL: http://hl7.org/fhir/StructureDefinition/resource-approvalDate | ||||
| effectiveDate | S | 0..1 | date | When the value set version becomes Active and is available for use URL: http://hl7.org/fhir/StructureDefinition/codesystem-effectiveDate | ||||
| expirationDate | S | 0..1 | date | When the value set version should no longer be used URL: http://hl7.org/fhir/StructureDefinition/codesystem-expirationDate | ||||
| lastReviewDate | S | 0..1 | date | Last review date for the resource URL: http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate | ||||
| author | 0..* | string | User or Org actually involved in creating the value set content URL: http://hl7.org/fhir/StructureDefinition/codesystem-author | |||||
| keyWord | 0..* | string | Descriptors and key terms for search URL: http://hl7.org/fhir/StructureDefinition/codesystem-keyWord | |||||
| sourceReference | S | 0..1 | uri | Where did this content come from URL: http://hl7.org/fhir/StructureDefinition/codesystem-sourceReference | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url | Σ | 1..1 | uri | Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system) | ||||
| identifier | Σ | 0..* | Identifier | Additional identifier for the code system (business identifier) | ||||
| version | Σ | 1..1 | string | Business version of the code system (Coding.version) | ||||
| name | ΣC | 1..1 | string | Name for this code system (computer friendly) | ||||
| title | Σ | 1..1 | string | Name for this code system (human friendly) | ||||
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage | ||||
| date | Σ | 1..1 | dateTime | Date last changed | ||||
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
| contact | Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description | 1..1 | markdown | Natural language description of the code system | |||||
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for code system (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose | 0..1 | markdown | Why this code system is defined | |||||
| copyright | S | 0..1 | markdown | Use and/or publishing restrictions | ||||
| caseSensitive | Σ | 1..1 | boolean | If code comparison is case sensitive | ||||
| valueSet | Σ | 0..1 | canonical(ValueSet) | Canonical reference to the value set with entire code system | ||||
| hierarchyMeaning | Σ | 0..1 | code | grouped-by | is-a | part-of | classified-with Binding: CodeSystemHierarchyMeaning (required): The meaning of the hierarchy of concepts in a code system. | ||||
| compositional | Σ | 0..1 | boolean | If code system defines a compositional grammar | ||||
| versionNeeded | Σ | 0..1 | boolean | If definitions are not stable | ||||
| content | Σ | 1..1 | code | not-present | example | fragment | complete | supplement Binding: CodeSystemContentMode (required): The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource. | ||||
| supplements | Σ | 0..1 | canonical(CodeSystem) | Canonical URL of Code System this adds designations and properties to | ||||
| count | Σ | 0..1 | unsignedInt | Total concepts in the code system | ||||
| filter | Σ | 0..* | BackboneElement | Filter that can be used in a value set | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | code | Code that identifies the filter | ||||
| description | Σ | 0..1 | string | How or why the filter is used | ||||
| operator | Σ | 1..* | code | = | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists Binding: FilterOperator (required): The kind of operation to perform as a part of a property based filter. | ||||
| value | Σ | 1..1 | string | What to use for the value | ||||
| property | Σ | 0..* | BackboneElement | Additional information supplied about each concept | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | Σ | 1..1 | code | Identifies the property on the concepts, and when referred to in operations | ||||
| uri | Σ | 0..1 | uri | Formal identifier for the property | ||||
| description | Σ | 0..1 | string | Why the property is defined, and/or what it conveys | ||||
| type | Σ | 1..1 | code | code | Coding | string | integer | boolean | dateTime | decimal Binding: PropertyType (required): The type of a property value. | ||||
| concept | 1..* | BackboneElement | Concepts in the code system | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | Code that identifies concept | |||||
| display | 0..1 | string | Text to display to the user | |||||
| definition | 0..1 | string | Formal definition | |||||
| designation | 0..* | BackboneElement | Additional representations for the concept | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| language | 0..1 | code | Human language of the designation Binding: CommonLanguages (preferred): A human language.
| |||||
| use | 0..1 | Coding | Details how this designation would be used Binding: DesignationUse (extensible): Details of how a designation would be used. | |||||
| value | 1..1 | string | The text value for this designation | |||||
| property | 0..* | BackboneElement | Property value for the concept | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 1..1 | code | Reference to CodeSystem.property.code | |||||
| value[x] | 1..1 | Value of the property for this concept | ||||||
| valueCode | code | |||||||
| valueCoding | Coding | |||||||
| valueString | string | |||||||
| valueInteger | integer | |||||||
| valueBoolean | boolean | |||||||
| valueDateTime | dateTime | |||||||
| valueDecimal | decimal | |||||||
| concept | 0..* | See concept (CodeSystem) | Child Concepts (is-a/contains/categorizes) | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| CodeSystem.language | preferred | CommonLanguages
| ||||
| CodeSystem.status | required | PublicationStatus | ||||
| CodeSystem.jurisdiction | extensible | Jurisdiction ValueSet | ||||
| CodeSystem.hierarchyMeaning | required | CodeSystemHierarchyMeaning | ||||
| CodeSystem.content | required | CodeSystemContentMode | ||||
| CodeSystem.filter.operator | required | FilterOperator | ||||
| CodeSystem.property.type | required | PropertyType | ||||
| CodeSystem.concept.designation.language | preferred | CommonLanguages
| ||||
| CodeSystem.concept.designation.use | extensible | DesignationUse |
| Id | Grade | Path(s) | Details | Requirements |
| csd-0 | warning | CodeSystem | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| csd-1 | error | CodeSystem | Within a code system definition, all the codes SHALL be unique : concept.code.combine($this.descendants().concept.code).isDistinct() | |
| dom-2 | error | CodeSystem | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | CodeSystem | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | CodeSystem | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | CodeSystem | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | CodeSystem | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Shareable CodeSystem
Summary
Mandatory: 3 elements
Must-Support: 8 elements
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#4.0.0 based on FHIR 4.0.1. Generated 2023-08-28
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