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/ratio-measure-cqfm | Version: 4.0.0 | |||
| Active as of 2019-02-13 | Computable Name: CQFMRatioMeasure | |||
The CQFM Ratio Measure Profile describes a ratio scoring measure
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CQFMMeasure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Measure | 1..1 | CQFMMeasure | A quality measure definition | |
  scoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Required Pattern: At least the following |
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
  system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
 group | S | 1..* | BackboneElement | Population criteria group |
 Slices for population | S | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
  population:initialPopulation | S | 1..2 | BackboneElement | Initial Population |
  populationBasis | 0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |
 code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| population:denominator | S | 1..1 | BackboneElement | Denominator |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| population:denominatorExclusion | S | 0..1 | BackboneElement | Denominator Exclusion |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| population:numerator | S | 1..1 | BackboneElement | Numerator |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| population:numeratorExclusion | S | 0..1 | BackboneElement | Numerator Exclusion |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
 population:measureObservation | S | 1..2 | BackboneElement | Measure Observation |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure | C | 1..1 | CQFMMeasure | A quality measure definition |
| meta | SΣ | 1..1 | Meta | Metadata about the resource |
 profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment |
| softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| url | Σ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) |
| identifier | SΣ | 0..* | Identifier | Additional identifier for the measure |
| version | Σ | 1..1 | string | Business version of the measure |
| name | ΣC | 1..1 | string | Name for this measure (computer friendly) |
| title | SΣ | 0..1 | string | Name for this measure (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 | SΣ | 0..1 | dateTime | Date last changed |
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) |
| contact | SΣ | 0..* | ContactDetail | Contact details for the publisher |
| description | Σ | 1..1 | markdown | Natural language description of the measure |
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
| library | SC | 0..1 | canonical(CQFM Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. |
| scoring | SΣ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| type | SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |
| group | S | 1..* | BackboneElement | Population criteria group |
| id | SC | 0..1 | string | Unique id for inter-element referencing |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Slices for population | S | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
| population:All Slices | Content/Rules for all slices | |||
 id | S | 1..1 | string | Unique id for inter-element referencing |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
 criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:initialPopulation | S | 1..2 | BackboneElement | Initial Population |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| populationBasis | 0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
 criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:denominator | S | 1..1 | BackboneElement | Denominator |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:denominatorExclusion | S | 0..1 | BackboneElement | Denominator Exclusion |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:numerator | S | 1..1 | BackboneElement | Numerator |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:numeratorExclusion | S | 0..1 | BackboneElement | Numerator Exclusion |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:measureObservation | S | 1..2 | BackboneElement | Measure Observation |
| id | S | 1..1 | string | Unique id for inter-element referencing |
 Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| criteria | SC | 0..1 | Expression | How the measure should be stratified |
| supplementalData | S | 0..* | BackboneElement | What other data should be reported with the measure |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| includeInReportType | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureSupplementalData (preferred) |
| criteria | 1..1 | Expression | Expression describing additional data to be reported | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Measure.status | required | PublicationStatus |
| Measure.jurisdiction | extensible | Jurisdiction ValueSet |
| Measure.scoring | extensible | Pattern: ratio |
| Measure.type | extensible | MeasureType |
| Measure.group.population.code | extensible | MeasurePopulationType |
| Measure.group.population:initialPopulation.code | extensible | Pattern: initial-population |
| Measure.group.population:denominator.code | extensible | Pattern: denominator |
| Measure.group.population:denominatorExclusion.code | extensible | Pattern: denominator-exclusion |
| Measure.group.population:numerator.code | extensible | Pattern: numerator |
| Measure.group.population:numeratorExclusion.code | extensible | Pattern: numerator-exclusion |
| Measure.group.population:measureObservation.code | extensible | Pattern: measure-observation |
| Measure.supplementalData.code | preferred | MeasureSupplementalData |
| Id | Grade | Path(s) | Details | Requirements |
| cqm-2 | warning | Measure.library | Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) : exists() | |
| cqm-3 | warning | Measure.group.id | Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group : startsWith('group-') | |
| cqm-4 | warning | Measure.group.population.criteria, Measure.group.population:initialPopulation.criteria, Measure.group.population:denominator.criteria, Measure.group.population:denominatorExclusion.criteria, Measure.group.population:numerator.criteria, Measure.group.population:numeratorExclusion.criteria, Measure.group.population:measureObservation.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : expression.contains('.').not() | |
| cqm-5 | warning | Measure.group.stratifier.criteria | Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : expression.contains('.').not() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | 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() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Measure | C | 1..1 | CQFMMeasure | A quality measure definition | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | SΣ | 1..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed | ||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): 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 | |||||
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment | ||||
| softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url | Σ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
| identifier | SΣ | 0..* | Identifier | Additional identifier for the measure | ||||
| version | Σ | 1..1 | string | Business version of the measure | ||||
| name | ΣC | 1..1 | string | Name for this measure (computer friendly) | ||||
| title | SΣ | 0..1 | string | Name for this measure (human friendly) | ||||
| subtitle | 0..1 | string | Subordinate title of the measure | |||||
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage | ||||
 subject[x] | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||
| subjectCodeableConcept | CodeableConcept | |||||||
 subjectReference | Reference(Group) | |||||||
| date | SΣ | 0..1 | dateTime | Date last changed | ||||
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
| contact | SΣ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description | Σ | 1..1 | markdown | Natural language description of the measure | ||||
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose | 0..1 | markdown | Why this measure is defined | |||||
| usage | 0..1 | string | Describes the clinical usage of the measure | |||||
| copyright | 0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate | 0..1 | date | When the measure was approved by publisher | |||||
| lastReviewDate | 0..1 | date | When the measure was last reviewed | |||||
| effectivePeriod | Σ | 0..1 | Period | When the measure is expected to be used | ||||
| topic | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
| author | 0..* | ContactDetail | Who authored the content | |||||
| editor | 0..* | ContactDetail | Who edited the content | |||||
| reviewer | 0..* | ContactDetail | Who reviewed the content | |||||
| endorser | 0..* | ContactDetail | Who endorsed the content | |||||
| relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations, etc. | |||||
| library | SC | 0..1 | canonical(CQFM Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. | ||||
| disclaimer | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| scoring | SΣ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| compositeScoring | Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
| type | SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) | ||||
| riskAdjustment | Σ | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation | Σ | 0..1 | string | How is rate aggregation performed for this measure | ||||
| rationale | Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
| clinicalRecommendationStatement | Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
| improvementNotation | Σ | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
| definition | Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance | Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group | S | 1..* | BackboneElement | Population criteria group | ||||
| id | SC | 0..1 | string | Unique id for inter-element referencing | ||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 0..1 | CodeableConcept | Meaning of the group | |||||
| description | 0..1 | string | Summary description | |||||
| Slices for population | S | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code | ||||
| population:All Slices | Content/Rules for all slices | |||||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) | ||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:initialPopulation | S | 1..2 | BackboneElement | Initial Population | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| populationBasis | 0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:denominator | S | 1..1 | BackboneElement | Denominator | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:denominatorExclusion | S | 0..1 | BackboneElement | Denominator Exclusion | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:numerator | S | 1..1 | BackboneElement | Numerator | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:numeratorExclusion | S | 0..1 | BackboneElement | Numerator Exclusion | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:measureObservation | S | 1..2 | BackboneElement | Measure Observation | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 0..1 | CodeableConcept | Meaning of the stratifier | |||||
| description | 0..1 | string | The human readable description of this stratifier | |||||
| criteria | SC | 0..1 | Expression | How the measure should be stratified | ||||
| component | 0..* | BackboneElement | Stratifier criteria component for the measure | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 0..1 | CodeableConcept | Meaning of the stratifier component | |||||
| description | 0..1 | string | The human readable description of this stratifier component | |||||
| criteria | 1..1 | Expression | Component of how the measure should be stratified | |||||
| supplementalData | S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| includeInReportType | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureSupplementalData (preferred) | ||||
| usage | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (preferred) | |||||
| description | 0..1 | string | The human readable description of this supplemental data | |||||
| criteria | 1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Measure.meta.security | extensible | All Security Labels | ||||
| Measure.meta.tag | example | CommonTags | ||||
| Measure.language | preferred | CommonLanguages
| ||||
| Measure.status | required | PublicationStatus | ||||
| Measure.subject[x] | extensible | SubjectType | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSet | ||||
| Measure.topic | example | DefinitionTopic | ||||
| Measure.scoring | extensible | Pattern: ratio | ||||
| Measure.compositeScoring | extensible | CompositeMeasureScoring | ||||
| Measure.type | extensible | MeasureType | ||||
| Measure.improvementNotation | required | MeasureImprovementNotation | ||||
| Measure.group.population.code | extensible | MeasurePopulationType | ||||
| Measure.group.population:initialPopulation.code | extensible | Pattern: initial-population | ||||
| Measure.group.population:denominator.code | extensible | Pattern: denominator | ||||
| Measure.group.population:denominatorExclusion.code | extensible | Pattern: denominator-exclusion | ||||
| Measure.group.population:numerator.code | extensible | Pattern: numerator | ||||
| Measure.group.population:numeratorExclusion.code | extensible | Pattern: numerator-exclusion | ||||
| Measure.group.population:measureObservation.code | extensible | Pattern: measure-observation | ||||
| Measure.supplementalData.code | preferred | MeasureSupplementalData | ||||
| Measure.supplementalData.usage | preferred | MeasureDataUsage |
| Id | Grade | Path(s) | Details | Requirements |
| cqm-2 | warning | Measure.library | Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) : exists() | |
| cqm-3 | warning | Measure.group.id | Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group : startsWith('group-') | |
| cqm-4 | warning | Measure.group.population.criteria, Measure.group.population:initialPopulation.criteria, Measure.group.population:denominator.criteria, Measure.group.population:denominatorExclusion.criteria, Measure.group.population:numerator.criteria, Measure.group.population:numeratorExclusion.criteria, Measure.group.population:measureObservation.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : expression.contains('.').not() | |
| cqm-5 | warning | Measure.group.stratifier.criteria | Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : expression.contains('.').not() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | 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() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CQFMMeasure
Summary
Mandatory: 10 elements (2 nested mandatory elements)
Must-Support: 21 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CQFMMeasure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure | 1..1 | CQFMMeasure | A quality measure definition | |
| scoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| group | S | 1..* | BackboneElement | Population criteria group |
| Slices for population | S | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
| population:initialPopulation | S | 1..2 | BackboneElement | Initial Population |
| populationBasis | 0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| population:denominator | S | 1..1 | BackboneElement | Denominator |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| population:denominatorExclusion | S | 0..1 | BackboneElement | Denominator Exclusion |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| population:numerator | S | 1..1 | BackboneElement | Numerator |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| population:numeratorExclusion | S | 0..1 | BackboneElement | Numerator Exclusion |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| population:measureObservation | S | 1..2 | BackboneElement | Measure Observation |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure | C | 1..1 | CQFMMeasure | A quality measure definition |
| meta | SΣ | 1..1 | Meta | Metadata about the resource |
| profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment |
| softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| url | Σ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) |
| identifier | SΣ | 0..* | Identifier | Additional identifier for the measure |
| version | Σ | 1..1 | string | Business version of the measure |
| name | ΣC | 1..1 | string | Name for this measure (computer friendly) |
| title | SΣ | 0..1 | string | Name for this measure (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 | SΣ | 0..1 | dateTime | Date last changed |
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) |
| contact | SΣ | 0..* | ContactDetail | Contact details for the publisher |
| description | Σ | 1..1 | markdown | Natural language description of the measure |
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support |
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
| library | SC | 0..1 | canonical(CQFM Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. |
| scoring | SΣ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure. Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |
| type | SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |
| group | S | 1..* | BackboneElement | Population criteria group |
| id | SC | 0..1 | string | Unique id for inter-element referencing |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| Slices for population | S | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
| population:All Slices | Content/Rules for all slices | |||
| id | S | 1..1 | string | Unique id for inter-element referencing |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:initialPopulation | S | 1..2 | BackboneElement | Initial Population |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| populationBasis | 0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:denominator | S | 1..1 | BackboneElement | Denominator |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:denominatorExclusion | S | 0..1 | BackboneElement | Denominator Exclusion |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:numerator | S | 1..1 | BackboneElement | Numerator |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:numeratorExclusion | S | 0..1 | BackboneElement | Numerator Exclusion |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| population:measureObservation | S | 1..2 | BackboneElement | Measure Observation |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
| aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| criteria | SC | 1..1 | Expression | The criteria that defines this population |
| stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| criteria | SC | 0..1 | Expression | How the measure should be stratified |
| supplementalData | S | 0..* | BackboneElement | What other data should be reported with the measure |
| id | S | 1..1 | string | Unique id for inter-element referencing |
| includeInReportType | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureSupplementalData (preferred) |
| criteria | 1..1 | Expression | Expression describing additional data to be reported | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Measure.status | required | PublicationStatus |
| Measure.jurisdiction | extensible | Jurisdiction ValueSet |
| Measure.scoring | extensible | Pattern: ratio |
| Measure.type | extensible | MeasureType |
| Measure.group.population.code | extensible | MeasurePopulationType |
| Measure.group.population:initialPopulation.code | extensible | Pattern: initial-population |
| Measure.group.population:denominator.code | extensible | Pattern: denominator |
| Measure.group.population:denominatorExclusion.code | extensible | Pattern: denominator-exclusion |
| Measure.group.population:numerator.code | extensible | Pattern: numerator |
| Measure.group.population:numeratorExclusion.code | extensible | Pattern: numerator-exclusion |
| Measure.group.population:measureObservation.code | extensible | Pattern: measure-observation |
| Measure.supplementalData.code | preferred | MeasureSupplementalData |
| Id | Grade | Path(s) | Details | Requirements |
| cqm-2 | warning | Measure.library | Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) : exists() | |
| cqm-3 | warning | Measure.group.id | Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group : startsWith('group-') | |
| cqm-4 | warning | Measure.group.population.criteria, Measure.group.population:initialPopulation.criteria, Measure.group.population:denominator.criteria, Measure.group.population:denominatorExclusion.criteria, Measure.group.population:numerator.criteria, Measure.group.population:numeratorExclusion.criteria, Measure.group.population:measureObservation.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : expression.contains('.').not() | |
| cqm-5 | warning | Measure.group.stratifier.criteria | Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : expression.contains('.').not() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | 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() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Measure | C | 1..1 | CQFMMeasure | A quality measure definition | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | SΣ | 1..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed | ||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile | SΣ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): 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 | |||||
| comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment | ||||
| softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url | Σ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
| identifier | SΣ | 0..* | Identifier | Additional identifier for the measure | ||||
| version | Σ | 1..1 | string | Business version of the measure | ||||
| name | ΣC | 1..1 | string | Name for this measure (computer friendly) | ||||
| title | SΣ | 0..1 | string | Name for this measure (human friendly) | ||||
| subtitle | 0..1 | string | Subordinate title of the measure | |||||
| status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental | Σ | 1..1 | boolean | For testing purposes, not real usage | ||||
| subject[x] | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||
| subjectCodeableConcept | CodeableConcept | |||||||
| subjectReference | Reference(Group) | |||||||
| date | SΣ | 0..1 | dateTime | Date last changed | ||||
| publisher | Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
| contact | SΣ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description | Σ | 1..1 | markdown | Natural language description of the measure | ||||
| useContext | SΣ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction | SΣ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose | 0..1 | markdown | Why this measure is defined | |||||
| usage | 0..1 | string | Describes the clinical usage of the measure | |||||
| copyright | 0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate | 0..1 | date | When the measure was approved by publisher | |||||
| lastReviewDate | 0..1 | date | When the measure was last reviewed | |||||
| effectivePeriod | Σ | 0..1 | Period | When the measure is expected to be used | ||||
| topic | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
| author | 0..* | ContactDetail | Who authored the content | |||||
| editor | 0..* | ContactDetail | Who edited the content | |||||
| reviewer | 0..* | ContactDetail | Who reviewed the content | |||||
| endorser | 0..* | ContactDetail | Who endorsed the content | |||||
| relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations, etc. | |||||
| library | SC | 0..1 | canonical(CQFM Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. | ||||
| disclaimer | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| scoring | SΣ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure. Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ratio | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| compositeScoring | Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
| type | SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) | ||||
| riskAdjustment | Σ | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation | Σ | 0..1 | string | How is rate aggregation performed for this measure | ||||
| rationale | Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
| clinicalRecommendationStatement | Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
| improvementNotation | Σ | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
| definition | Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance | Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group | S | 1..* | BackboneElement | Population criteria group | ||||
| id | SC | 0..1 | string | Unique id for inter-element referencing | ||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 0..1 | CodeableConcept | Meaning of the group | |||||
| description | 0..1 | string | Summary description | |||||
| Slices for population | S | 4..8 | BackboneElement | Population criteria Slice: Unordered, Open by value:code | ||||
| population:All Slices | Content/Rules for all slices | |||||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) | ||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:initialPopulation | S | 1..2 | BackboneElement | Initial Population | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| populationBasis | 0..1 | code | Allows the populationBasis for that population to be overridden. If not present, the populationBasis of the measure (or group) is used. If present, it specifies the population basis for all the expressions that use it as the initial population in the ratio measure. URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:denominator | S | 1..1 | BackboneElement | Denominator | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:denominatorExclusion | S | 0..1 | BackboneElement | Denominator Exclusion | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: denominator-exclusion | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:numerator | S | 1..1 | BackboneElement | Numerator | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:numeratorExclusion | S | 0..1 | BackboneElement | Numerator Exclusion | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: numerator-exclusion | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| population:measureObservation | S | 1..2 | BackboneElement | Measure Observation | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| criteriaReference | S | 0..1 | string | Which criteria URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
| aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) Required Pattern: At least the following | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |||||
| display | 0..1 | string | Representation defined by the system | |||||
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
| text | 0..1 | string | Plain text representation of the concept | |||||
| description | 0..1 | string | The human readable description of this population criteria | |||||
| criteria | SC | 1..1 | Expression | The criteria that defines this population | ||||
| stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 0..1 | CodeableConcept | Meaning of the stratifier | |||||
| description | 0..1 | string | The human readable description of this stratifier | |||||
| criteria | SC | 0..1 | Expression | How the measure should be stratified | ||||
| component | 0..* | BackboneElement | Stratifier criteria component for the measure | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | 0..1 | CodeableConcept | Meaning of the stratifier component | |||||
| description | 0..1 | string | The human readable description of this stratifier component | |||||
| criteria | 1..1 | Expression | Component of how the measure should be stratified | |||||
| supplementalData | S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
| id | S | 1..1 | string | Unique id for inter-element referencing | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| includeInReportType | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureSupplementalData (preferred) | ||||
| usage | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (preferred) | |||||
| description | 0..1 | string | The human readable description of this supplemental data | |||||
| criteria | 1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Measure.meta.security | extensible | All Security Labels | ||||
| Measure.meta.tag | example | CommonTags | ||||
| Measure.language | preferred | CommonLanguages
| ||||
| Measure.status | required | PublicationStatus | ||||
| Measure.subject[x] | extensible | SubjectType | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSet | ||||
| Measure.topic | example | DefinitionTopic | ||||
| Measure.scoring | extensible | Pattern: ratio | ||||
| Measure.compositeScoring | extensible | CompositeMeasureScoring | ||||
| Measure.type | extensible | MeasureType | ||||
| Measure.improvementNotation | required | MeasureImprovementNotation | ||||
| Measure.group.population.code | extensible | MeasurePopulationType | ||||
| Measure.group.population:initialPopulation.code | extensible | Pattern: initial-population | ||||
| Measure.group.population:denominator.code | extensible | Pattern: denominator | ||||
| Measure.group.population:denominatorExclusion.code | extensible | Pattern: denominator-exclusion | ||||
| Measure.group.population:numerator.code | extensible | Pattern: numerator | ||||
| Measure.group.population:numeratorExclusion.code | extensible | Pattern: numerator-exclusion | ||||
| Measure.group.population:measureObservation.code | extensible | Pattern: measure-observation | ||||
| Measure.supplementalData.code | preferred | MeasureSupplementalData | ||||
| Measure.supplementalData.usage | preferred | MeasureDataUsage |
| Id | Grade | Path(s) | Details | Requirements |
| cqm-2 | warning | Measure.library | Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) : exists() | |
| cqm-3 | warning | Measure.group.id | Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group : startsWith('group-') | |
| cqm-4 | warning | Measure.group.population.criteria, Measure.group.population:initialPopulation.criteria, Measure.group.population:denominator.criteria, Measure.group.population:denominatorExclusion.criteria, Measure.group.population:numerator.criteria, Measure.group.population:numeratorExclusion.criteria, Measure.group.population:measureObservation.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : expression.contains('.').not() | |
| cqm-5 | warning | Measure.group.stratifier.criteria | Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : expression.contains('.').not() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | 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() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CQFMMeasure
Summary
Mandatory: 10 elements (2 nested mandatory elements)
Must-Support: 21 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
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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