Canonical Resource Management Infrastructure Implementation Guide
1.0.0-ballot2 - Ballot International flag

This page is part of the Canonical Resource Management Infrastructure Implementation Guide (v1.0.0-ballot2: STU1 Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: CRMI Shareable Measure

Official URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure Version: 1.0.0-ballot2
Standards status: Trial-use Maturity Level: 4 Computable Name: CRMIShareableMeasure

Enforces the minimum information set for the measure metadata required by HL7 and other organizations that share and publish measures

Usage:

Formal Views of Profile Content

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

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1MeasureA quality measure definition
... knowledgeCapability S0..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: KnowledgeCapability (required)
... knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: KnowledgeRepresentationLevelValues (required)
... artifactComment S0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
... versionPolicy S0..1CodeableConceptmetadata | strict
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy
Binding: Artifact Version Policy (extensible): The versioning policy of the artifact

... url S1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... version S1..1stringBusiness version of the measure
... name S0..1stringName for this measure (computer friendly)
... title S1..1stringName for this measure (human friendly)
... status S1..1codedraft | active | retired | unknown
... experimental S0..1booleanFor testing purposes, not real usage
... publisher S0..1stringName of the publisher (organization or individual)
... description S1..1markdownNatural language description of the measure

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C1..1MeasureA quality measure definition
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... knowledgeCapability S0..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: KnowledgeCapability (required)
... knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: KnowledgeRepresentationLevelValues (required)
... versionAlgorithm S0..1string, CodingHow to compare versions
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm
Binding: VersionAlgorithm (extensible)
... versionPolicy S0..1CodeableConceptmetadata | strict
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy
Binding: Artifact Version Policy (extensible): The versioning policy of the artifact


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url SΣ1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... version SΣ1..1stringBusiness version of the measure
... name SΣC0..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... status ?!SΣ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental SΣ0..1booleanFor testing purposes, not real usage
... publisher SΣ0..1stringName of the publisher (organization or individual)
... description SΣ1..1markdownNatural language description of the measure

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Measure.statusrequiredPublicationStatus

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMeasureIf 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-4errorMeasureIf 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-5errorMeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMeasureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mea-0warningMeasureName 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-1errorMeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C1..1MeasureA quality measure definition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... knowledgeCapability S0..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: KnowledgeCapability (required)
... knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: KnowledgeRepresentationLevelValues (required)
... artifactComment S0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
... versionAlgorithm S0..1string, CodingHow to compare versions
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm
Binding: VersionAlgorithm (extensible)
... versionPolicy S0..1CodeableConceptmetadata | strict
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy
Binding: Artifact Version Policy (extensible): The versioning policy of the artifact


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url SΣ1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier Σ0..*IdentifierAdditional identifier for the measure
... version SΣ1..1stringBusiness version of the measure
... name SΣC0..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!SΣ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental SΣ0..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.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.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date Σ0..1dateTimeDate last changed
... publisher SΣ0..1stringName of the publisher (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... description SΣ1..1markdownNatural language description of the measure
... useContext Σ0..*UsageContextThe context that the content is intended to support
... jurisdiction Σ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the measure was approved by publisher
... lastReviewDate 0..1dateWhen the measure was last reviewed
... effectivePeriod Σ0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe 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..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactAdditional documentation, citations, etc.
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ0..1stringHow risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | 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 Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... group 0..*BackboneElementPopulation criteria group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the group
.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
..... description 0..1stringThe human readable description of this stratifier
..... criteria 0..1ExpressionHow the measure should be stratified
..... component 0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code 0..1CodeableConceptMeaning of the stratifier component
...... description 0..1stringThe human readable description of this stratifier component
...... criteria 1..1ExpressionComponent of how the measure should be stratified
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Measure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Measure.statusrequiredPublicationStatus
Measure.subject[x]extensibleSubjectType
Measure.jurisdictionextensibleJurisdiction ValueSet
Measure.topicexampleDefinitionTopic
Measure.scoringextensibleMeasureScoring
Measure.compositeScoringextensibleCompositeMeasureScoring
Measure.typeextensibleMeasureType
Measure.improvementNotationrequiredMeasureImprovementNotation
Measure.group.population.codeextensibleMeasurePopulationType
Measure.supplementalData.usageextensibleMeasureDataUsage

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMeasureIf 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-4errorMeasureIf 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-5errorMeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMeasureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mea-0warningMeasureName 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-1errorMeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())

Differential View

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1MeasureA quality measure definition
... knowledgeCapability S0..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: KnowledgeCapability (required)
... knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: KnowledgeRepresentationLevelValues (required)
... artifactComment S0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
... versionPolicy S0..1CodeableConceptmetadata | strict
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy
Binding: Artifact Version Policy (extensible): The versioning policy of the artifact

... url S1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... version S1..1stringBusiness version of the measure
... name S0..1stringName for this measure (computer friendly)
... title S1..1stringName for this measure (human friendly)
... status S1..1codedraft | active | retired | unknown
... experimental S0..1booleanFor testing purposes, not real usage
... publisher S0..1stringName of the publisher (organization or individual)
... description S1..1markdownNatural language description of the measure

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C1..1MeasureA quality measure definition
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... knowledgeCapability S0..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: KnowledgeCapability (required)
... knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: KnowledgeRepresentationLevelValues (required)
... versionAlgorithm S0..1string, CodingHow to compare versions
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm
Binding: VersionAlgorithm (extensible)
... versionPolicy S0..1CodeableConceptmetadata | strict
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy
Binding: Artifact Version Policy (extensible): The versioning policy of the artifact


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url SΣ1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... version SΣ1..1stringBusiness version of the measure
... name SΣC0..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... status ?!SΣ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental SΣ0..1booleanFor testing purposes, not real usage
... publisher SΣ0..1stringName of the publisher (organization or individual)
... description SΣ1..1markdownNatural language description of the measure

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Measure.statusrequiredPublicationStatus

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMeasureIf 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-4errorMeasureIf 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-5errorMeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMeasureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mea-0warningMeasureName 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-1errorMeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C1..1MeasureA quality measure definition
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... knowledgeCapability S0..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: KnowledgeCapability (required)
... knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: KnowledgeRepresentationLevelValues (required)
... artifactComment S0..*(Complex)Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
... versionAlgorithm S0..1string, CodingHow to compare versions
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm
Binding: VersionAlgorithm (extensible)
... versionPolicy S0..1CodeableConceptmetadata | strict
URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy
Binding: Artifact Version Policy (extensible): The versioning policy of the artifact


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url SΣ1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier Σ0..*IdentifierAdditional identifier for the measure
... version SΣ1..1stringBusiness version of the measure
... name SΣC0..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!SΣ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental SΣ0..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.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.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date Σ0..1dateTimeDate last changed
... publisher SΣ0..1stringName of the publisher (organization or individual)
... contact Σ0..*ContactDetailContact details for the publisher
... description SΣ1..1markdownNatural language description of the measure
... useContext Σ0..*UsageContextThe context that the content is intended to support
... jurisdiction Σ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright 0..1markdownUse and/or publishing restrictions
... approvalDate 0..1dateWhen the measure was approved by publisher
... lastReviewDate 0..1dateWhen the measure was last reviewed
... effectivePeriod Σ0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe 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..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact 0..*RelatedArtifactAdditional documentation, citations, etc.
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ0..1stringHow risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | 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 Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... group 0..*BackboneElementPopulation criteria group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the group
.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
..... description 0..1stringThe human readable description of this stratifier
..... criteria 0..1ExpressionHow the measure should be stratified
..... component 0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code 0..1CodeableConceptMeaning of the stratifier component
...... description 0..1stringThe human readable description of this stratifier component
...... criteria 1..1ExpressionComponent of how the measure should be stratified
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
Measure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Measure.statusrequiredPublicationStatus
Measure.subject[x]extensibleSubjectType
Measure.jurisdictionextensibleJurisdiction ValueSet
Measure.topicexampleDefinitionTopic
Measure.scoringextensibleMeasureScoring
Measure.compositeScoringextensibleCompositeMeasureScoring
Measure.typeextensibleMeasureType
Measure.improvementNotationrequiredMeasureImprovementNotation
Measure.group.population.codeextensibleMeasurePopulationType
Measure.supplementalData.usageextensibleMeasureDataUsage

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMeasureIf 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-4errorMeasureIf 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-5errorMeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMeasureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mea-0warningMeasureName 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-1errorMeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())

 

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