Quality Measure Implementation Guide (STU5)
5.0.0-ballot2 - ballot United States of America flag

Quality Measure Implementation Guide (STU5), published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

Resource Profile: CQFM Composite Measure

Official URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/composite-measure-cqfm Version: 4.0.0
Active as of 2024-04-09 Computable Name: CQFMCompositeMeasure

The CQFM Composite Measure Profile describes minimum expectations for a composite electronic Clinical Quality Measure (eCQM)

Usage:

Formal Views of Profile Content

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

This structure is derived from CQFMComputableMeasure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 0..* CQFMComputableMeasure A quality measure definition
... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component S 0..* RelatedArtifact Additional documentation, citations, etc.
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... type S 1..1 code Component measure
Fixed Value: composed-of
..... display S 0..1 string Brief description of the related artifact
..... resource S 1..1 canonical(Measure) What resource is being referenced
... scoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (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-scoring
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: composite
... group SC 0..* BackboneElement Population criteria group
cmp-10: Composite measures may not specify population criteria
cmp-11: Composite measures must specify composite scoring and at least one component
.... scoring SC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
Binding: MeasureScoring (extensible): How the measure calculation is performed

.... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
.... compositeScoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring
Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed

.... component SC 0..* (Complex) What artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
.... population SC 0..* BackboneElement Population criteria

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Measure.scoringextensiblePattern: composite
http://terminology.hl7.org/ValueSet/measure-scoring
Measure.compositeScoringextensibleCompositeMeasureScoring
http://terminology.hl7.org/ValueSet/composite-measure-scoring

Constraints

IdGradePath(s)DetailsRequirements
cmp-10errorMeasure.groupComposite measures may not specify population criteria
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0
cmp-11errorMeasure.groupComposite measures must specify composite scoring and at least one component
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure SC 0..* CQFMComputableMeasure A quality measure definition
mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
cmp-1: Population basis must be specified at the root, or on each group
cmp-2: Scoring must be specified at the root, or on each group
cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root
cmp-4: Improvement notation must be specified for scoring types other than cohort
cmp-5: If type is specified at the root, it may not be specified on any group
cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group
cmp-7: If rateAggregation is specified at the root, it may not be specified on any group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... populationBasis SC 0..1 code What type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required): The type of elements in the population


... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
... scoringPrecision 0..1 positiveInt Number of decimal places
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... subject[x] S 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)
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component S 0..* RelatedArtifact Additional documentation, citations, etc.
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... type SΣ 1..1 code Component measure
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: composed-of
..... display SΣ 0..1 string Brief description of the related artifact
..... resource SΣ 1..1 canonical(Measure) What resource is being referenced
... library S 0..* canonical(CRMI Computable Library) Logic used by the measure
... scoring SΣC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (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-scoring
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: composite
... compositeScoring SΣ 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible)
... type SΣC 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... improvementNotation SΣC 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required)
... group SC 0..* BackboneElement Population criteria group
cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root
cmp-9: Improvement notation must be specified for scoring types other than cohort
cmp-10: Composite measures may not specify population criteria
cmp-11: Composite measures must specify composite scoring and at least one component
.... populationBasis SC 0..1 code What type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required): The type of elements in the population


.... scoring SC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
Binding: MeasureScoring (extensible): How the measure calculation is performed


.... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
.... scoringPrecision 0..1 positiveInt Number of decimal places
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision
.... compositeScoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring
Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed


.... component SC 0..* (Complex) What artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... url 1..1 uri "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"
.... type C 0..* CodeableConcept process | outcome | structure | patient-reported-outcome
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type
Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.


.... riskAdjustment C 0..1 string How risk adjustment is applied for this measure
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment
.... rateAggregation C 0..1 string How is rate aggregation performed for this measure
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation
.... improvementNotation SC 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population SC 0..* BackboneElement Population criteria
cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... criteria 1..1 Expression The criteria that defines this population
.... stratifier SC 0..* BackboneElement Stratifier criteria for the measure
cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria
..... appliesTo 0..* CodeableConcept Which population should this stratification apply to? If none is specified, the stratification applies to all populations in the group.
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo
Binding: MeasurePopulationType (extensible): Indicates the population


..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... component SC 0..* BackboneElement Stratifier criteria component for the measure
cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... criteria 1..1 Expression Component of how the measure should be stratified
... supplementalData SC 0..* BackboneElement What other data should be reported with the measure
cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Measure.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Measure.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Measure.relatedArtifact:component.typerequiredFixed Value: composed-of
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.scoringextensiblePattern: composite
http://terminology.hl7.org/ValueSet/measure-scoring
Measure.compositeScoringextensibleCompositeMeasureScoring
http://terminology.hl7.org/ValueSet/composite-measure-scoring
Measure.typeextensibleMeasureType
http://hl7.org/fhir/ValueSet/measure-type
from the FHIR Standard
Measure.improvementNotationrequiredMeasureImprovementNotation
http://terminology.hl7.org/ValueSet/measure-improvement-notation

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorMeasurePopulation basis must be specified at the root, or on each group
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue()
cmp-2errorMeasureScoring must be specified at the root, or on each group
: scoring.exists() or group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue()
cmp-3errorMeasureScoring unit may only be specified at the root if the scoring is also specified at the root
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists()
cmp-4errorMeasureImprovement notation must be specified for scoring types other than cohort
: scoring.exists() and scoring in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
cmp-5errorMeasureIf type is specified at the root, it may not be specified on any group
: type.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type').exists()).allFalse()
cmp-6errorMeasureIf riskAdjustment is specified at the root, it may not be specified on any group
: riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse()
cmp-7errorMeasureIf rateAggregation is specified at the root, it may not be specified on any group
: rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse()
cmp-8errorMeasure.groupScoring unit may only be specified at the root if the scoring is also specified at the root
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()
cmp-9errorMeasure.groupImprovement notation must be specified for scoring types other than cohort
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists()
cmp-10errorMeasure.groupComposite measures may not specify population criteria
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0
cmp-11errorMeasure.groupComposite measures must specify composite scoring and at least one component
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists()
cmp-32errorMeasure.group.populationComputable measures must use text/cql-expression or text/cql-identifier for all criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier')
cmp-33errorMeasure.group.stratifierComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
cmp-34errorMeasure.group.stratifier.componentComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
cmp-35errorMeasure.supplementalDataComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
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 SC 0..* CQFMComputableMeasure A quality measure definition
mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
cmp-1: Population basis must be specified at the root, or on each group
cmp-2: Scoring must be specified at the root, or on each group
cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root
cmp-4: Improvement notation must be specified for scoring types other than cohort
cmp-5: If type is specified at the root, it may not be specified on any group
cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group
cmp-7: If rateAggregation is specified at the root, it may not be specified on any group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... 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
... populationBasis SC 0..1 code What type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required): The type of elements in the population


... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
... effectiveDataRequirements S 0..1 canonical(CRMI Module Definition Library) Effective required data for evaluation
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
... scoringPrecision 0..1 positiveInt Number of decimal places
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
... identifier Σ 0..* Identifier Additional identifier for the measure
... version Σ 0..1 string Business version of the measure
... name ΣC 0..1 string Name for this measure (computer friendly)
... title Σ 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 0..1 boolean For testing purposes, not real usage
... subject[x] S 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 Σ 0..1 dateTime Date last changed
... publisher Σ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description Σ 0..1 markdown Natural language description of the measure
... useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1 markdown Why this measure is defined
... usage 0..1 string Describes the clinical usage of the measure
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 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
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component S 0..* RelatedArtifact Additional documentation, citations, etc.
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... type SΣ 1..1 code Component measure
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: composed-of
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document Σ 0..1 Attachment What document is being referenced
..... resource SΣ 1..1 canonical(Measure) What resource is being referenced
... library S 0..* canonical(CRMI Computable Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring SΣC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (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-scoring
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: composite
..... 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 SΣ 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible)
... type SΣC 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment ΣC 0..1 string How risk adjustment is applied for this measure
... rateAggregation ΣC 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 SΣC 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required)
... definition Σ 0..* markdown Defined terms used in the measure documentation
... guidance Σ 0..1 markdown Additional guidance for implementers
... group SC 0..* BackboneElement Population criteria group
cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root
cmp-9: Improvement notation must be specified for scoring types other than cohort
cmp-10: Composite measures may not specify population criteria
cmp-11: Composite measures must specify composite scoring and at least one component
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... populationBasis SC 0..1 code What type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required): The type of elements in the population


.... scoring SC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
Binding: MeasureScoring (extensible): How the measure calculation is performed


.... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
.... scoringPrecision 0..1 positiveInt Number of decimal places
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision
.... compositeScoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring
Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed


.... component SC 0..* (Complex) What artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... url 1..1 uri "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"
..... value[x] 0..1 RelatedArtifact Value of extension
.... type C 0..* CodeableConcept process | outcome | structure | patient-reported-outcome
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type
Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.


.... riskAdjustment C 0..1 string How risk adjustment is applied for this measure
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment
.... rateAggregation C 0..1 string How is rate aggregation performed for this measure
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation
.... improvementNotation SC 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Meaning of the group
.... description 0..1 string Summary description
.... population SC 0..* BackboneElement Population criteria
cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria
..... 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 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1 string The human readable description of this population criteria
..... criteria 1..1 Expression The criteria that defines this population
.... stratifier SC 0..* BackboneElement Stratifier criteria for the measure
cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... appliesTo 0..* CodeableConcept Which population should this stratification apply to? If none is specified, the stratification applies to all populations in the group.
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo
Binding: MeasurePopulationType (extensible): Indicates the population


..... 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 0..1 Expression How the measure should be stratified
..... component SC 0..* BackboneElement Stratifier criteria component for the measure
cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria
...... 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 SC 0..* BackboneElement What other data should be reported with the measure
cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria
.... 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 supplemental data
.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1 string The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Measure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Measure.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Measure.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Measure.jurisdictionextensibleJurisdiction ValueSet
http://hl7.org/fhir/ValueSet/jurisdiction
from the FHIR Standard
Measure.topicexampleDefinitionTopic
http://hl7.org/fhir/ValueSet/definition-topic
from the FHIR Standard
Measure.relatedArtifact:component.typerequiredFixed Value: composed-of
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.scoringextensiblePattern: composite
http://terminology.hl7.org/ValueSet/measure-scoring
Measure.compositeScoringextensibleCompositeMeasureScoring
http://terminology.hl7.org/ValueSet/composite-measure-scoring
Measure.typeextensibleMeasureType
http://hl7.org/fhir/ValueSet/measure-type
from the FHIR Standard
Measure.improvementNotationrequiredMeasureImprovementNotation
http://terminology.hl7.org/ValueSet/measure-improvement-notation
Measure.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
Measure.supplementalData.usageextensibleMeasureDataUsage
http://hl7.org/fhir/ValueSet/measure-data-usage
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorMeasurePopulation basis must be specified at the root, or on each group
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue()
cmp-2errorMeasureScoring must be specified at the root, or on each group
: scoring.exists() or group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue()
cmp-3errorMeasureScoring unit may only be specified at the root if the scoring is also specified at the root
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists()
cmp-4errorMeasureImprovement notation must be specified for scoring types other than cohort
: scoring.exists() and scoring in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
cmp-5errorMeasureIf type is specified at the root, it may not be specified on any group
: type.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type').exists()).allFalse()
cmp-6errorMeasureIf riskAdjustment is specified at the root, it may not be specified on any group
: riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse()
cmp-7errorMeasureIf rateAggregation is specified at the root, it may not be specified on any group
: rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse()
cmp-8errorMeasure.groupScoring unit may only be specified at the root if the scoring is also specified at the root
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()
cmp-9errorMeasure.groupImprovement notation must be specified for scoring types other than cohort
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists()
cmp-10errorMeasure.groupComposite measures may not specify population criteria
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0
cmp-11errorMeasure.groupComposite measures must specify composite scoring and at least one component
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists()
cmp-32errorMeasure.group.populationComputable measures must use text/cql-expression or text/cql-identifier for all criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier')
cmp-33errorMeasure.group.stratifierComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
cmp-34errorMeasure.group.stratifier.componentComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
cmp-35errorMeasure.supplementalDataComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
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())

This structure is derived from CQFMComputableMeasure

Differential View

This structure is derived from CQFMComputableMeasure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 0..* CQFMComputableMeasure A quality measure definition
... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component S 0..* RelatedArtifact Additional documentation, citations, etc.
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... type S 1..1 code Component measure
Fixed Value: composed-of
..... display S 0..1 string Brief description of the related artifact
..... resource S 1..1 canonical(Measure) What resource is being referenced
... scoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (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-scoring
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: composite
... group SC 0..* BackboneElement Population criteria group
cmp-10: Composite measures may not specify population criteria
cmp-11: Composite measures must specify composite scoring and at least one component
.... scoring SC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
Binding: MeasureScoring (extensible): How the measure calculation is performed

.... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
.... compositeScoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring
Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed

.... component SC 0..* (Complex) What artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
.... population SC 0..* BackboneElement Population criteria

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet / CodeURI
Measure.scoringextensiblePattern: composite
http://terminology.hl7.org/ValueSet/measure-scoring
Measure.compositeScoringextensibleCompositeMeasureScoring
http://terminology.hl7.org/ValueSet/composite-measure-scoring

Constraints

IdGradePath(s)DetailsRequirements
cmp-10errorMeasure.groupComposite measures may not specify population criteria
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0
cmp-11errorMeasure.groupComposite measures must specify composite scoring and at least one component
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure SC 0..* CQFMComputableMeasure A quality measure definition
mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
cmp-1: Population basis must be specified at the root, or on each group
cmp-2: Scoring must be specified at the root, or on each group
cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root
cmp-4: Improvement notation must be specified for scoring types other than cohort
cmp-5: If type is specified at the root, it may not be specified on any group
cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group
cmp-7: If rateAggregation is specified at the root, it may not be specified on any group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... populationBasis SC 0..1 code What type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required): The type of elements in the population


... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
... scoringPrecision 0..1 positiveInt Number of decimal places
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... subject[x] S 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)
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component S 0..* RelatedArtifact Additional documentation, citations, etc.
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... type SΣ 1..1 code Component measure
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: composed-of
..... display SΣ 0..1 string Brief description of the related artifact
..... resource SΣ 1..1 canonical(Measure) What resource is being referenced
... library S 0..* canonical(CRMI Computable Library) Logic used by the measure
... scoring SΣC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (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-scoring
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: composite
... compositeScoring SΣ 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible)
... type SΣC 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... improvementNotation SΣC 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required)
... group SC 0..* BackboneElement Population criteria group
cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root
cmp-9: Improvement notation must be specified for scoring types other than cohort
cmp-10: Composite measures may not specify population criteria
cmp-11: Composite measures must specify composite scoring and at least one component
.... populationBasis SC 0..1 code What type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required): The type of elements in the population


.... scoring SC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
Binding: MeasureScoring (extensible): How the measure calculation is performed


.... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
.... scoringPrecision 0..1 positiveInt Number of decimal places
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision
.... compositeScoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring
Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed


.... component SC 0..* (Complex) What artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... url 1..1 uri "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"
.... type C 0..* CodeableConcept process | outcome | structure | patient-reported-outcome
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type
Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.


.... riskAdjustment C 0..1 string How risk adjustment is applied for this measure
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment
.... rateAggregation C 0..1 string How is rate aggregation performed for this measure
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation
.... improvementNotation SC 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population SC 0..* BackboneElement Population criteria
cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... criteria 1..1 Expression The criteria that defines this population
.... stratifier SC 0..* BackboneElement Stratifier criteria for the measure
cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria
..... appliesTo 0..* CodeableConcept Which population should this stratification apply to? If none is specified, the stratification applies to all populations in the group.
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo
Binding: MeasurePopulationType (extensible): Indicates the population


..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... component SC 0..* BackboneElement Stratifier criteria component for the measure
cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... criteria 1..1 Expression Component of how the measure should be stratified
... supplementalData SC 0..* BackboneElement What other data should be reported with the measure
cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Measure.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Measure.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Measure.relatedArtifact:component.typerequiredFixed Value: composed-of
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.scoringextensiblePattern: composite
http://terminology.hl7.org/ValueSet/measure-scoring
Measure.compositeScoringextensibleCompositeMeasureScoring
http://terminology.hl7.org/ValueSet/composite-measure-scoring
Measure.typeextensibleMeasureType
http://hl7.org/fhir/ValueSet/measure-type
from the FHIR Standard
Measure.improvementNotationrequiredMeasureImprovementNotation
http://terminology.hl7.org/ValueSet/measure-improvement-notation

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorMeasurePopulation basis must be specified at the root, or on each group
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue()
cmp-2errorMeasureScoring must be specified at the root, or on each group
: scoring.exists() or group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue()
cmp-3errorMeasureScoring unit may only be specified at the root if the scoring is also specified at the root
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists()
cmp-4errorMeasureImprovement notation must be specified for scoring types other than cohort
: scoring.exists() and scoring in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
cmp-5errorMeasureIf type is specified at the root, it may not be specified on any group
: type.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type').exists()).allFalse()
cmp-6errorMeasureIf riskAdjustment is specified at the root, it may not be specified on any group
: riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse()
cmp-7errorMeasureIf rateAggregation is specified at the root, it may not be specified on any group
: rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse()
cmp-8errorMeasure.groupScoring unit may only be specified at the root if the scoring is also specified at the root
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()
cmp-9errorMeasure.groupImprovement notation must be specified for scoring types other than cohort
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists()
cmp-10errorMeasure.groupComposite measures may not specify population criteria
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0
cmp-11errorMeasure.groupComposite measures must specify composite scoring and at least one component
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists()
cmp-32errorMeasure.group.populationComputable measures must use text/cql-expression or text/cql-identifier for all criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier')
cmp-33errorMeasure.group.stratifierComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
cmp-34errorMeasure.group.stratifier.componentComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
cmp-35errorMeasure.supplementalDataComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
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 SC 0..* CQFMComputableMeasure A quality measure definition
mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
cmp-1: Population basis must be specified at the root, or on each group
cmp-2: Scoring must be specified at the root, or on each group
cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root
cmp-4: Improvement notation must be specified for scoring types other than cohort
cmp-5: If type is specified at the root, it may not be specified on any group
cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group
cmp-7: If rateAggregation is specified at the root, it may not be specified on any group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... 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
... populationBasis SC 0..1 code What type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required): The type of elements in the population


... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
... effectiveDataRequirements S 0..1 canonical(CRMI Module Definition Library) Effective required data for evaluation
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
... scoringPrecision 0..1 positiveInt Number of decimal places
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
... identifier Σ 0..* Identifier Additional identifier for the measure
... version Σ 0..1 string Business version of the measure
... name ΣC 0..1 string Name for this measure (computer friendly)
... title Σ 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 0..1 boolean For testing purposes, not real usage
... subject[x] S 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 Σ 0..1 dateTime Date last changed
... publisher Σ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description Σ 0..1 markdown Natural language description of the measure
... useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1 markdown Why this measure is defined
... usage 0..1 string Describes the clinical usage of the measure
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 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
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component S 0..* RelatedArtifact Additional documentation, citations, etc.
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... type SΣ 1..1 code Component measure
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: composed-of
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document Σ 0..1 Attachment What document is being referenced
..... resource SΣ 1..1 canonical(Measure) What resource is being referenced
... library S 0..* canonical(CRMI Computable Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring SΣC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (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-scoring
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: composite
..... 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 SΣ 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible)
... type SΣC 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment ΣC 0..1 string How risk adjustment is applied for this measure
... rateAggregation ΣC 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 SΣC 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required)
... definition Σ 0..* markdown Defined terms used in the measure documentation
... guidance Σ 0..1 markdown Additional guidance for implementers
... group SC 0..* BackboneElement Population criteria group
cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root
cmp-9: Improvement notation must be specified for scoring types other than cohort
cmp-10: Composite measures may not specify population criteria
cmp-11: Composite measures must specify composite scoring and at least one component
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... populationBasis SC 0..1 code What type of population
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
Binding: FHIRAllTypes (required): The type of elements in the population


.... scoring SC 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
Binding: MeasureScoring (extensible): How the measure calculation is performed


.... scoringUnit S 0..1 CodeableConcept What units?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
.... scoringPrecision 0..1 positiveInt Number of decimal places
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringPrecision
.... compositeScoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring
Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed


.... component SC 0..* (Complex) What artifact
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... groupId S 0..1 string What group
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
..... weight S 0..1 decimal Contribution?
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
..... url 1..1 uri "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"
..... value[x] 0..1 RelatedArtifact Value of extension
.... type C 0..* CodeableConcept process | outcome | structure | patient-reported-outcome
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type
Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.


.... riskAdjustment C 0..1 string How risk adjustment is applied for this measure
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment
.... rateAggregation C 0..1 string How is rate aggregation performed for this measure
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation
.... improvementNotation SC 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Meaning of the group
.... description 0..1 string Summary description
.... population SC 0..* BackboneElement Population criteria
cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria
..... 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 initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1 string The human readable description of this population criteria
..... criteria 1..1 Expression The criteria that defines this population
.... stratifier SC 0..* BackboneElement Stratifier criteria for the measure
cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... appliesTo 0..* CodeableConcept Which population should this stratification apply to? If none is specified, the stratification applies to all populations in the group.
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo
Binding: MeasurePopulationType (extensible): Indicates the population


..... 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 0..1 Expression How the measure should be stratified
..... component SC 0..* BackboneElement Stratifier criteria component for the measure
cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria
...... 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 SC 0..* BackboneElement What other data should be reported with the measure
cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria
.... 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 supplemental data
.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1 string The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Measure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Measure.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Measure.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Measure.jurisdictionextensibleJurisdiction ValueSet
http://hl7.org/fhir/ValueSet/jurisdiction
from the FHIR Standard
Measure.topicexampleDefinitionTopic
http://hl7.org/fhir/ValueSet/definition-topic
from the FHIR Standard
Measure.relatedArtifact:component.typerequiredFixed Value: composed-of
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.scoringextensiblePattern: composite
http://terminology.hl7.org/ValueSet/measure-scoring
Measure.compositeScoringextensibleCompositeMeasureScoring
http://terminology.hl7.org/ValueSet/composite-measure-scoring
Measure.typeextensibleMeasureType
http://hl7.org/fhir/ValueSet/measure-type
from the FHIR Standard
Measure.improvementNotationrequiredMeasureImprovementNotation
http://terminology.hl7.org/ValueSet/measure-improvement-notation
Measure.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
Measure.supplementalData.usageextensibleMeasureDataUsage
http://hl7.org/fhir/ValueSet/measure-data-usage
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorMeasurePopulation basis must be specified at the root, or on each group
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue()
cmp-2errorMeasureScoring must be specified at the root, or on each group
: scoring.exists() or group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()).allTrue()
cmp-3errorMeasureScoring unit may only be specified at the root if the scoring is also specified at the root
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists()
cmp-4errorMeasureImprovement notation must be specified for scoring types other than cohort
: scoring.exists() and scoring in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists()
cmp-5errorMeasureIf type is specified at the root, it may not be specified on any group
: type.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type').exists()).allFalse()
cmp-6errorMeasureIf riskAdjustment is specified at the root, it may not be specified on any group
: riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse()
cmp-7errorMeasureIf rateAggregation is specified at the root, it may not be specified on any group
: rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse()
cmp-8errorMeasure.groupScoring unit may only be specified at the root if the scoring is also specified at the root
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists()
cmp-9errorMeasure.groupImprovement notation must be specified for scoring types other than cohort
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists()
cmp-10errorMeasure.groupComposite measures may not specify population criteria
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0
cmp-11errorMeasure.groupComposite measures must specify composite scoring and at least one component
: extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists()
cmp-32errorMeasure.group.populationComputable measures must use text/cql-expression or text/cql-identifier for all criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier')
cmp-33errorMeasure.group.stratifierComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
cmp-34errorMeasure.group.stratifier.componentComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
cmp-35errorMeasure.supplementalDataComputable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria
: criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath')
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())